Individual
DR. MICHAEL JOB LANDZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-2793
Mailing address
PO BOX 9135, ATT:SHARON SILVA, BROOKLINE, MA 02446-9135
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
71141
MA
207RA0002X
Adult Congenital Heart Disease Physician
Primary
71141
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3085325
—
MA
Enumeration date
11/02/2005
Last updated
11/18/2020
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