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Individual

MICHAEL L CORBETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 CHESTNUT ST, SUITE 900, NEEDHAM, MA 02492-2497
(781) 444-5080
(781) 449-5027
Mailing address
300 CHESTNUT ST, SUITE 900, NEEDHAM, MA 02492-2497
(781) 444-5080
(781) 449-5027

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
39517
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17425
HARVARD PILGRIM
MA
01
701741
TUFTS
MA
01
V03443
BLUECROSSBLUESHIELD
MA
Enumeration date
08/09/2006
Last updated
07/08/2007
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