Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 220991 | MA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 220991 | MA |
NPI | 1285690479 |
---|---|
Provider Name | Brandon E Earp |
First Address | Brookline, MA 02445-6007 |
Second Address | Boston, MA 02115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 07/04/2014 |