Branda, John Alan
Branda, John Alan is an individual health care provider with primary practice located at 55 Fruit St Grb 526, Clinical Microbiology, Boston MA 02114-2696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Branda, John Alan can be contacted via phone (617) 726-3611.Contact Information
Primary practice address
55 Fruit St Grb 526, Clinical Microbiology
Boston MA 02114-2696
Phone: (617) 726-3611
Fax: (617) 726-5957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 219811 | Massachusetts |
Profile Details
| NPI number | 1104809573 |
|---|---|
| LBN Legal business name | Branda, John Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104809573 | NPPES |
| Massachusetts | MEDICAID | 2039699 | |
| Massachusetts | Other | J27255 | |
| Massachusetts | Other | 468829 |
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