Provider Demographics
NPI:1336865351
Name:LEUNG, BRIANNA RAE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:BRIANNA
Middle Name:RAE
Last Name:LEUNG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 BROOKFIELD LN
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02019-2157
Mailing Address - Country:US
Mailing Address - Phone:617-823-2117
Mailing Address - Fax:
Practice Address - Street 1:20 BROOKFIELD LN
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02019-2157
Practice Address - Country:US
Practice Address - Phone:617-823-2117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant