Brogan, Mary Jean

Brogan, Mary Jean is an individual health care provider with primary practice located at 230 Worcester St Internal Medicine, Wellesley MA 02481-5420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Brogan, Mary Jean can be contacted via phone (781) 431-5220.

Contact Information

Primary practice address
230 Worcester St Internal Medicine Wellesley MA 02481-5420
Fax: (781) 431-5371
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 78135 Massachusetts

Profile Details

NPI number 1912987454
LBN Legal business name Brogan, Mary Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Oct 30th, 2020 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912987454 NPPES
Massachusetts MEDICAID 110055355A

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