Active NPIIndividual provider

Dr. Allen W Bryan Jr., MD, PHD

Pathology, Clinical Pathology in Boston, Massachusetts

NPI Number1417214701
Practice location
330 Brookline Ave, Department Of Pathology, Boston, MA 02215-5400
Fax
617-667-7120
Last updated
November 3, 2015

Allen Wayne Bryan is a Pathology, Clinical Pathology based in Boston, MA. Allen Wayne Bryan practices in Boston, MA and has the professional credentials of MD, PHD. The NPI Number for Allen Wayne Bryan is 1417214701 and holds a License No. 34658 (AL). The current practice location address for Allen Wayne Bryan is 330 Brookline Ave, Department Of Pathology, Boston, MA 02215-5400 and can be reached out via phone at 617-667-4344 and via fax at 617-667-7120.

Provider Profile Details

NPI Number
1417214701
Provider Name
Allen Wayne Bryan
Credential
MD, PHD
Provider Entity Type
Individual
Gender
Male
Address
330 Brookline Ave, Department Of Pathology, Boston, MA 02215-5400
Phone Number
617-667-4344
Fax Number
617-667-7120
Primary Taxonomy
Pathology, Clinical Pathology · 207ZC0006X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2012
Last Update Date
November 3, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
330 Brookline Ave
Department Of Pathology
Boston, MA 02215-5400
City
Boston
Zip
02215-5400
Phone Number
617-667-4344
Fax Number
617-667-7120
Boston, MA 02215Get directions →

Provider Business Mailing Address Details

Address
330 Brookline Ave
Department Of Pathology
Boston, MA 02215-5400
City
Boston
State
MA
Zip
02215-5400
Phone Number
617-667-4344
Fax Number
617-667-7120

License Information

License Number (2)
34658
License State (2)
AL
Taxonomy (2)
Pathology, Clinical Pathology · 207ZC0006X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Allen W Bryan Jr., MD, PHD?

The NPI number of Dr. Allen W Bryan Jr., MD, PHD is 1417214701. It was assigned on April 12, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Allen W Bryan Jr., MD, PHD?

Dr. Allen W Bryan Jr., MD, PHD is registered under the primary taxonomy Pathology, Clinical Pathology (code 207ZC0006X), licensed in AL under license number 34658.

Where does Dr. Allen W Bryan Jr., MD, PHD practice?

The practice location is 330 Brookline Ave, Department Of Pathology, Boston, MA 02215-5400. The office can be reached at 617-667-4344 (phone) or 617-667-7120 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417214701 directly on the NPPES registry website.

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