Organization
ANANSES WISDOM PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICAELA OWUSU MD (OWNER)
(617) 615-9702
Entity
Organization
Contact information
Practice address
2 GRANITE AVE STE 260, MILTON, MA 02186-4381
(617) 615-9702
Mailing address
2 GRANITE AVE STE 260, MILTON, MA 02186-4381
(617) 615-9702
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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