Individual
DR. MICHAEL BATEMAN LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, WRN 11, BOSTON, MA 02114-2621
(617) 726-0376
(617) 726-5057
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
29674
MA
208600000X
Surgery Physician
29674
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029674
TUFTS HEALTH PLAN
MA
05
—
2014521
—
MA
01
—
M08459
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
09/11/2025
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