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1144979501
BRANDON MATTHEW PTAK
BOSTON, MA
NPI
1144979501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD486139)
Enumeration Date
2022-03-22
Last Update Date
2024-12-18
Business Address
BRANDON MATTHEW PTAK MD
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-726-3812
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Mailing Address
BRANDON MATTHEW PTAK MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number:
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