Individual
BRITTANY MARIE FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
47 E SPRINGFIELD ST APT 3, BOSTON, MA 02118-3352
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
MA
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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