BRANDON MATTHEW PTAK

BOSTON, MA
NPI1144979501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: PA  MD486139)
Enumeration Date2022-03-22
Last Update Date2024-12-18
Business Address
BRANDON MATTHEW PTAK MD
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-726-3812
Mailing Address
BRANDON MATTHEW PTAK MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: