Individual
MR. EDWARD JUSTIN BREIBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-7876
Mailing address
75 FRANCIS STREET, BOSTON, MA 02115
(781) 652-8806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1531
MA
363AS0400X
Surgical Physician Assistant
1531
MA
Other
Enumeration date
09/23/2006
Last updated
01/25/2022
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