Individual
DR. MICHAEL VAN HAUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 BUTLER RD APT 15, QUINCY, MA 02169-2242
(617) 296-4000
Mailing address
40 BUTLER RD APT 15, QUINCY, MA 02169-2242
(617) 296-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
228534
MA
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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