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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