Individual
DR. MICHELLE L. TRAVASSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
321 MAIN ST, ACTON, MA 01720-3718
(978) 263-0680
(978) 263-4880
Mailing address
321 MAIN ST, ACTON, MA 01720-3718
(978) 263-0680
(978) 263-4880
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
213482
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0196011
—
MA
Enumeration date
10/19/2005
Last updated
07/08/2007
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