Individual
GIANMICHEL D CORRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
319 LONGWOOD AVE, 6TH FLOOR, BOSTON, MA 02115-5728
(617) 355-6028
(617) 731-5298
Mailing address
319 LONGWOOD AVE, 6TH FLOOR, BOSTON, MA 02115-5728
(617) 355-6028
(617) 731-5298
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
212795
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0196479
—
MA
Enumeration date
10/23/2006
Last updated
10/30/2009
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