Individual
MICHELLE VILLARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
(617) 774-1906
Mailing address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
(617) 774-1906
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
238097
MA
390200000X
Student in an Organized Health Care Education/Training Program
4301085927
MI
Other
Enumeration date
03/14/2007
Last updated
12/17/2021
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