Individual
MICHIYA NISHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-4344
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-4344
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
250186
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
L-236146
MA
Other
Enumeration date
06/02/2008
Last updated
06/19/2013
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