Organization
MICHAEL BADER MD PC
Active
Organization
MICHAEL BADER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRADLEY BADER MD (OWNER)
(781) 438-5543
Entity
Organization
Contact information
Practice address
92 MONTVALE AVE, SUITE 3700, STONEHAM, MA 02180-3647
(781) 438-5543
(781) 756-7274
Mailing address
PO BOX 760, WINCHESTER, MA 01890-4260
(781) 756-7273
(781) 756-7274
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52061
MA
207RP1001X
Pulmonary Disease Physician
52061
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6175147
—
MA
Enumeration date
03/12/2008
Last updated
06/25/2008
Update your record
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