Individual
MICHAEL HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
55 FRUIT STREET, BOSTON, MA 02241-9095
(617) 726-2000
Mailing address
55 FRUIT STREET, BOSTON, MA 02241-9095
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2328682
MA
Other
Enumeration date
01/04/2025
Last updated
04/04/2025
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