Individual
DR. BRIAN P BACKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49 WALNUT PARK, BLDG. 5 - APPS, WELLESLEY, MA 02481-2117
(617) 875-4890
Mailing address
49 WALNUT PARK, BLDG. 5 - APPS, WELLESLEY, MA 02481-2117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53982
MA
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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