Individual
DR. MICHAEL EDWARD DVORKIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
55 FRUIT STREET WAC 812, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114
(617) 724-1550
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2259
MA
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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