Individual
BRANDON HENRY MESSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-0288
Mailing address
55 FRUIT ST # B62, BOSTON, MA 02114-2696
(617) 724-0288
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1017907
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
05/05/2024
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