Individual
DR. MICHAEL GANETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 DEACONESS RD # WCC-2, BIDMC, DEPARTMENT OF EMERGENCY MEDICINE, BOSTON, MA 02215-5321
(617) 754-2323
(617) 754-2350
Mailing address
1 DEACONESS RD, WCC-2, BOSTON, MA 02215-5321
(617) 754-2323
(617) 754-2350
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
220259
MA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
220259
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042011
—
MA
Enumeration date
11/22/2005
Last updated
12/06/2007
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