IndividualActive
Brandon Ptak, MD
NPI 1144979501 · Infectious Disease Physician · Boston, MA
Provider details
- NPI number
- 1144979501
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 3017841 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-3812
Approximate (ZIP-level) locationGet directions
Mailing address
55 Fruit St
Boston, MA 02114-2696
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2025-06-07
- Certified
- 2025-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.