Individual
DR. MISHA-MICHELLE M FAUSTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
281 LINCOLN ST, WORCESTER, MA 01605
(508) 334-9071
(508) 334-9701
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
272324
MA
207W00000X
Ophthalmology Physician
33016
AZ
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
272324
MA
Other
Enumeration date
04/25/2006
Last updated
10/27/2020
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