Individual
DR. MICHELLE W.S. MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 WASHINGTON ST, TUFTS MEDICAL CENTER - DEPARTMENT OF INTERNAL MEDICINE, BOSTON, MA 02111-1526
(617) 636-5246
Mailing address
225 W MONTAUK HWY SUITE 3, SUITE 3, HAMPTON BAYS, NY 11946-3531
(631) 728-7288
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
263129-1
NY
207R00000X
Internal Medicine Physician
236962
MA
Other
Enumeration date
11/10/2008
Last updated
09/25/2017
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