Individual
MR. MICHAEL PAUL ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, M.S.
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA3699
MA
363AS0400X
Surgical Physician Assistant
1077
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDA0532
—
AK
Enumeration date
10/26/2011
Last updated
10/16/2025
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