Individual
MICHAEL MI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
185 PILGRIM RD FL BAKER4, BOSTON, MA 02215
(617) 667-8800
(617) 632-7760
Mailing address
185 PILGRIM RD FL BAKER4, BOSTON, MA 02215-5324
(617) 667-8800
(617) 632-7760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
269550
MA
207RC0000X
Cardiovascular Disease Physician
Primary
269550
MA
Other
Enumeration date
06/15/2014
Last updated
11/13/2021
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