Individual
JOY BRETTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 FRANCIS ST, ASB 2 LEVEL 3, BOSTON, MA 02115-6110
(617) 459-2389
Mailing address
101 WALK HILL ST, JAMAICA PLAIN, MA 02130-4147
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1179
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1179
STATE LICENSE
MA
Enumeration date
09/15/2006
Last updated
07/08/2007
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