Individual
DR. MARY JEAN BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 WORCESTER ST, INTERNAL MEDICINE, WELLESLEY, MA 02481-5420
(781) 431-5220
(781) 431-5371
Mailing address
230 WORCESTER ST, INTERNAL MEDICINE, WELLESLEY, MA 02481-5420
(781) 431-5220
(781) 431-5371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
78135
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110055355A
—
MA
Enumeration date
01/19/2006
Last updated
10/30/2020
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