Provider Demographics
NPI:1164467247
Name:HINNEBUSCH, BRIAN FRANK (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:FRANK
Last Name:HINNEBUSCH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:35 UNITED DR
Mailing Address - Street 2:STE 102
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379-1027
Mailing Address - Country:US
Mailing Address - Phone:781-551-5848
Mailing Address - Fax:781-255-9844
Practice Address - Street 1:128 CARNEGIE ROW
Practice Address - Street 2:STE 208
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-5010
Practice Address - Country:US
Practice Address - Phone:781-551-5848
Practice Address - Fax:781-352-4373
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2017-10-20
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Provider Licenses
StateLicense IDTaxonomies
MA208608208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery