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Individual

MICHAEL JOHN BRUNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
101 CEDAR ST, MILFORD, MA 01757-1101
(508) 425-5050
(508) 556-6155
Mailing address
101 CEDAR ST, MILFORD, MA 01757-1101
(508) 425-5050
(508) 556-6155

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6950
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110151149A
MA
Enumeration date
03/14/2011
Last updated
01/22/2025
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