Individual
DR. MELISSA MCKIRDY HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(671) 355-6117
(617) 730-0249
Mailing address
20 UPTON ST APT 2, BOSTON, MA 02118-1610
(617) 797-6700
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
226420
MA
Other
Enumeration date
04/11/2007
Last updated
01/13/2010
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