Individual
JUSTIN PATRICK BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
125 PARKER HILL AVE BLDG SUITE560, BOSTON, MA 02120-2847
(617) 860-6130
(617) 860-6135
Mailing address
10 ATKINS ST APT 2, BRIGHTON, MA 02135-1602
(207) 233-5289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6265
MA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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