Individual
ROBERT ERNST MIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MOUNT AUBURN ST, STE 505, CAMBRIDGE, MA 02138-5600
(617) 491-6766
(617) 491-2552
Mailing address
20 GUEST ST STE 225, BRIGHTON, MA 02135-2065
(617) 738-8642
(617) 202-4172
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
47653
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161454
—
MA
Enumeration date
10/14/2005
Last updated
08/07/2019
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