Individual
MR. BRIAN CHARLES MEADERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130
(857) 364-0540
Mailing address
150 S. HUNTINGTON AVENUE, BOSTON, MA 02130
(857) 364-0540
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA.A10057
LA
363AS0400X
Surgical Physician Assistant
PA.A10057
—
Other
Enumeration date
07/04/2006
Last updated
07/31/2018
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