Individual
MR. MICHAEL JAMES BUTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1400 VFW PARKWAY, W. ROXBURY, MA 02132
(617) 323-7700
Mailing address
23 RIDEOUT LN, STOUGHTON, MA 02072-3191
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA169000
MA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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