Individual
MRS. MICHELLE GEANY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 LONGWOOD AVENUE, LO367, BOSTON, MA 02115
(617) 355-6460
Mailing address
300 LONGWOOD AVE, LO367, BOSTON, MA 02115
(617) 355-6460
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA3941
MA
Other
Enumeration date
07/09/2010
Last updated
05/20/2011
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