Individual
BREELIN DAVENPORT O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
125 PARKER HILL AVE, BOSTON, MA 02120-2847
(607) 437-9362
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4934
MA
Other
Enumeration date
03/06/2014
Last updated
10/24/2023
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