Healthcare Provider Details

I. General information

NPI: 1457284614
Provider Name (Legal Business Name): BRIAN FRANTZ GEORGES PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 MALL RD
BURLINGTON MA
01805-0002
US

IV. Provider business mailing address

13 ALLEN CT
MEDFORD MA
02155-2636
US

V. Phone/Fax

Practice location:
  • Phone: 781-888-5692
  • Fax:
Mailing address:
  • Phone: 781-888-5692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH1002355
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: