Individual
REBECCA A MIKSAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 HARRISON AVENUE, 3RD FL, MOAKLEY BLDG, BOSTON, MA 02118-2905
(617) 638-6428
(617) 638-5756
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
221748
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110077347A
—
MA
05
—
3153870
—
NH
Enumeration date
05/02/2007
Last updated
05/20/2026
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