Individual
MICHELLE P DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
ONE BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118-4001
(617) 414-5245
(617) 638-6836
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
259044
MA
2084P0804X
Child & Adolescent Psychiatry Physician
259044
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
U1887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110101175A
—
MA
Enumeration date
06/17/2009
Last updated
02/16/2024
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