Individual
BRENDAN WILLIAM RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 624-8000
Mailing address
60 KEVINS WAY, SOUTH EASTON, MA 02375-1299
(508) 915-0520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7922
MA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
06/15/2026
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