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Individual

BRANDIN PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 243-6040
Mailing address
7 THORNDIKE TER APT 2, SWAMPSCOTT, MA 01907-2526
(916) 284-0212

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1340
NH
363A00000X
Physician Assistant
52101
CA
363A00000X
Physician Assistant
Primary
PA8709
MA

Other

Enumeration date
10/24/2014
Last updated
12/05/2023
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