Individual
BRIAN ALLEN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
2054 RIVERSIDE AVE APT 1201, JACKSONVILLE, FL 32204-4438
(352) 222-0999
(888) 475-7198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
282158
NY
2085R0202X
Diagnostic Radiology Physician
Primary
282700
MA
Other
Enumeration date
04/05/2012
Last updated
07/09/2020
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