Individual
JOSEPH BRENNAN DEBETTENCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S PAULINA ST STE 403, CHICAGO, IL 60612-3806
(312) 942-7100
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1018891
MA
Other
Enumeration date
04/29/2019
Last updated
06/28/2024
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