Individual
MATTHEW BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
263 ALDEN ST, SPRINGFIELD, MA 01109-3707
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA95352
MA
363AS0400X
Surgical Physician Assistant
5263
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
11/10/2023
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