Individual
DR. BRIAN J. DUNKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
287683
MA
208600000X
Surgery Physician
M6115
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812670
BLUE CROSS BLUE SHIELD
TX
05
—
188001501
—
TX
05
—
188001502
—
TX
05
—
188001503
—
TX
01
—
8W1058
BCBS
TX
Enumeration date
04/25/2006
Last updated
10/20/2021
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