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Individual

MICHAEL E HIGGINS SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.O.A. 00118

Contact information

Practice address
250 KENNEDY DR, APT.405, MALDEN, MA 02148-3326
(617) 861-1562
Mailing address
250 KENNEDY DR, APT.405, MALDEN, MA 02148-3326
(617) 861-1562

Taxonomy

Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
C.O.A.00118
MA

Other

Enumeration date
06/30/2015
Last updated
06/30/2015
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