Individual
MR. MICHAEL ALLEN BRANDLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
725 ALBANY STREET SUITE 7C, SHAPIRO BUILDING, BOSTON, MA 02118
(617) 638-8992
(617) 638-8979
Mailing address
725 ALBANY ST STE 7C, BOSTON, MA 02118-3549
(617) 638-8992
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8810
MA
Other
Enumeration date
05/31/2021
Last updated
11/23/2024
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