Individual
MICHAELA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
179 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 731-2918
Mailing address
179 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 731-2918
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA100881
MA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
08/15/2024
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