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Individual

MICHAEL HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
736 CAMBRIDGE ST # QN-3P, BRIGHTON, MA 02135-2907
(617) 789-2623
(617) 562-5415
Mailing address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 562-5485
(617) 562-5415

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
73484
MA

Other

Enumeration date
08/18/2006
Last updated
02/15/2012
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