Individual
DR. BRIAN J MAZMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
63 FOUNTAIN ST STE 402, FRAMINGHAM, MA 01702-6280
(508) 872-4813
Mailing address
354 OTIS ST, WEST NEWTON, MA 02465-2547
(617) 244-6559
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
39490
MA
Other
Enumeration date
07/11/2006
Last updated
06/10/2008
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