Individual
MICAELA DUMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2455
(781) 624-8000
Mailing address
70 CASEY ST, NORWOOD, MA 02062-2316
(617) 365-5318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110172298
—
MA
Enumeration date
05/05/2021
Last updated
10/20/2023
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