Individual
MICHAEL MACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
Mailing address
64 OAK CLIFF RD, WEYMOUTH, MA 02189-1906
(781) 337-3393
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2263495
MA
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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