Individual
DOUGLAS S MICALIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(855) 776-4224
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
258808
MA
207RX0202X
Medical Oncology Physician
Primary
258808
MA
Other
Enumeration date
06/19/2012
Last updated
12/31/2025
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