Individual
DR. MICHAEL DAVID FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
330 BROOKLINE AVE, KIRSTEIN #448, BOSTON, MA 02215-5400
(617) 667-0220
Mailing address
40 MOULTON ST # 2, NEWTON, MA 02462-1404
(314) 365-7010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20088018700
MO
2084N0400X
Neurology Physician
Primary
250918
MA
Other
Enumeration date
09/23/2008
Last updated
10/02/2014
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