Individual
DONNA S MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 LONGWOOD DR, WELLNESS CENTER, FOX HILL VILLAGE, WESTWOOD, MA 02090-1123
(781) 493-6813
Mailing address
246 TEMPLE ST, WEST NEWTON, MA 02465-2334
(617) 957-7837
(617) 630-0929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60683
MA
207RC0000X
Cardiovascular Disease Physician
60683
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3143678
—
MA
Enumeration date
09/29/2005
Last updated
08/08/2014
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