Individual
DR. MICHAEL ROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 HARRISON AVE, BOSTON, MA 02118
(617) 638-6610
Mailing address
720 HARRISON AVE # DOB503, BOSTON, MA 02118-2371
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT204249
PA
2085R0202X
Diagnostic Radiology Physician
Primary
281142
MA
Other
Enumeration date
05/31/2013
Last updated
09/13/2019
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