Individual
DR. MICHAEL ELLIOTT BIGBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, CC2, BOSTON, MA 02215-5400
(617) 667-3753
(617) 975-5033
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-3753
(617) 975-5033
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
47598
MA
207NS0135X
Procedural Dermatology Physician
47598
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144363
—
MA
Enumeration date
05/12/2006
Last updated
07/20/2022
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