Individual
MR. BRADLEY THOMAS MARCINEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
185 PILGRIM RD, BOSTON, MA 02215-5324
(617) 632-7246
Mailing address
250 MAIN ST., PO BOX 425846, CAMBRIDGE, MA 02142-9998
(516) 410-0372
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA6222
MA
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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