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MR. MICHAEL DAVID MCCARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6000
Mailing address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07778
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA07778
TEXAS PHYSICIAN ASSISTANT BOARD
TX
Enumeration date
03/12/2012
Last updated
09/29/2015
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