Individual
BRENDAN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
30 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 638-6022
Mailing address
61 ROBERT RD, STOUGHTON, MA 02072-1057
(781) 308-3427
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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