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Individual

DR. MICHELE L MASI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
115 MILL ST, MCLEAN HOSPITAL, BELMONT, MA 02478
(617) 855-2354
(617) 855-3731
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53825
MA
2084N0400X
Neurology Physician
Primary
53825
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
053825
TUFTS HEALTH PLAN
MD
05
3001474
MA
01
J04182
BCBS MA
MA
Enumeration date
02/14/2006
Last updated
10/25/2007
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