Individual
MICHAL PLOCIENNICZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-1444
Mailing address
830 HARRISON AVE FL 1, BOSTON, MA 02118-2905
(617) 638-8124
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
275625
MA
Other
Enumeration date
03/19/2018
Last updated
06/01/2023
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