Individual
BRIAN HEADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
Mailing address
269 UNION ST, LYNN, MA 01901-1314
(781) 581-3900
(781) 598-1050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5559
MA
Other
Enumeration date
10/23/2015
Last updated
02/25/2016
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