Organization
ANGUS J. MICHAELS, M.D., P.C.
Active
Organization
ANGUS J. MICHAELS, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGUS J. MICHAELS M.D. (PRESIDENT)
(978) 669-5630
Entity
Organization
Contact information
Practice address
250 GREEN ST, SUITE 104, GARDNER, MA 01440-1396
(978) 669-5630
(978) 669-5627
Mailing address
250 GREEN ST, SUITE 104, GARDNER, MA 01440-1396
(978) 669-5630
(978) 669-5627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
233839
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010343
MEDICARE
MA
05
—
110078807A
—
MA
Enumeration date
12/17/2008
Last updated
03/16/2010
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