Individual
HENRY T MACKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
960 MASSACHUSETTS AVE STE 325, BOSTON, MA 02118-2620
(617) 414-4505
(781) 407-0998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
216399
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012821
—
MA
Enumeration date
04/12/2006
Last updated
03/17/2025
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