Individual
MICHELLE S UDESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-3100
Mailing address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
230929
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03437872
—
NY
Enumeration date
03/09/2007
Last updated
07/01/2020
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