Individual
DR. MICHEAL ANTHONY BREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MB BCH BAO
Contact information
Practice address
300 LONGWOOD AVE, DEPARTMENT OF RADIOLOGY, BOSTON, MA 02115-5724
(617) 355-6936
(617) 730-0549
Mailing address
300 LONGWOOD AVE, DEPARTMENT OF RADIOLOGY, BOSTON, MA 02115-5724
(617) 355-6936
(617) 730-0549
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
266534
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1200445
—
MA
Enumeration date
07/09/2013
Last updated
01/06/2017
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