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Individual

MR. MICHAEL S PIZZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, BC

Contact information

Practice address
289 GREAT ROAD, SUITE G1, ACTON, MA 01720
(978) 679-1200
(978) 486-4037
Mailing address
289 GREAT ROAD, SUITE G1, ACTON, MA 01720
(978) 679-1200
(978) 486-4037

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
236572
MA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
236572
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020860
MA
Enumeration date
03/06/2008
Last updated
07/09/2021
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