Individual
HIROMICHI MIYASHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3030
(617) 774-1906
Mailing address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3030
(617) 774-1906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD251081
MA
207Q00000X
Family Medicine Physician
MD445107
PA
Other
Enumeration date
09/23/2008
Last updated
11/21/2012
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