Individual
MICHAEL LIGHT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3 VILLAGE GRN N, PLYMOUTH, MA 02360-8803
(508) 224-2224
Mailing address
3 VILLAGE GRN N, PLYMOUTH, MA 02360-8803
(508) 224-2224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102204325
VA
207R00000X
Internal Medicine Physician
Primary
282933
MA
Other
Enumeration date
02/25/2014
Last updated
07/21/2022
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