Individual
MICHAEL THOMAS OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114
(617) 726-2677
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
244595
MA
207RC0000X
Cardiovascular Disease Physician
Primary
253701
MA
207UN0901X
Nuclear Cardiology Physician
11130
MA
Other
Enumeration date
05/19/2010
Last updated
06/14/2018
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