Individual
UNIQUE MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
637 WASHINGTON ST, DORCHESTER CENTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Mailing address
8 HILLCREST RD, CANTON, MA 02021-1135
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
78058
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3135403
—
MA
Enumeration date
06/04/2006
Last updated
12/20/2011
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