Individual
DR. ALLEN WAYNE BRYAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
330 BROOKLINE AVE, DEPARTMENT OF PATHOLOGY, BOSTON, MA 02215-5400
(617) 667-4344
(617) 667-7120
Mailing address
330 BROOKLINE AVE, DEPARTMENT OF PATHOLOGY, BOSTON, MA 02215-5400
(617) 667-4344
(617) 667-7120
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
34658
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2012
Last updated
11/03/2015
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