Justin Patrick Bryan, PA
Physician Assistant in Boston, MA. Individual provider (NPI-1).
NPI number1982180196
StatusActive
Last updated in NPPESJul 11, 2018
Details
- NPI
- 1982180196
- Entity type
- Individual (NPI-1)
- Name
- Justin Patrick Bryan
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2018
- Last updated
- Jul 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA6265 | MA | Yes |
Practice location
125 Parker Hill Ave Bldg Suite560Boston, MA 02120-2847
Phone 617-860-6130 · Fax 617-860-6135
Mailing address
10 Atkins St Apt 2Brighton, MA 02135-1602
Phone 207-233-5289
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