Individual
DR. EDWARD MICHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BWH BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6708
(617) 731-7473
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
207L00000X
Anesthesiology Physician
Primary
81403
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
81403
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081403
TUFTS HEALTH PLAN
MA
05
—
3141462
—
MA
01
—
J31532
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
11/02/2007
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