Organization
BRIGHAM AND WOMEN'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BRACH PA-C (PHYSICIAN ASSISTANT)
(617) 525-7775
Entity
Organization
Contact information
Practice address
75 FRANCIS STREET, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02135
(617) 525-7775
Mailing address
1419 COMMONWEALTH AVE APT 501, BRIGHTON, MA 02135-6249
(617) 783-1695
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
1004
MA
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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