Individual
MR. MARK F BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 WATER ST, WAKEFIELD, MA 01880-3058
(781) 851-2648
Mailing address
45 AVON ST APT 3, WAKEFIELD, MA 01880-2585
(781) 568-9001
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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