Individual
DR. MICHAEL A FIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, GRB 8, BOSTON, MA 02114-2696
(617) 726-1832
(617) 726-7437
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-1832
(617) 726-7437
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45926
MA
207RC0000X
Cardiovascular Disease Physician
Primary
45926
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6175562
—
MA
01
—
719437
TUFTS HEALTH PLAN
MA
01
—
J02987
BCBS MA
MA
Enumeration date
10/31/2005
Last updated
01/16/2013
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