Individual
GREGORY T BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
147 MILK ST, BOSTON, MA 02109-4806
(617) 559-8239
(617) 421-3487
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
(617) 559-8239
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4313
MA
363AM0700X
Medical Physician Assistant
0758
NH
Other
Enumeration date
02/08/2010
Last updated
01/11/2012
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