Individual
DR. MICHELLE LYNN NIESCIERENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, DIVISION OF EMERGENCY MEDICINE, BOSTON, MA 02115-5724
(617) 355-6624
Mailing address
300 LONGWOOD AVE, DIVISION OF EMERGENCY MEDICINE, BOSTON, MA 02115-5724
(617) 355-6624
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
229429
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
238421
MA
Other
Enumeration date
05/14/2008
Last updated
11/10/2020
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