Individual
DR. MICHAEL T WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 458, BOSTON, MA 02114-3117
(617) 726-0908
(617) 726-2560
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-0908
(617) 726-2560
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
56029
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056029
TUFTS HEALTH PLAN
MA
05
—
3028232
—
MA
01
—
J06928
BCBS MA
MA
Enumeration date
11/30/2005
Last updated
01/03/2013
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