Individual
DR. ALAN D MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, KARP 08213, BOSTON, MA 02115-5724
(617) 919-2116
Mailing address
300 LONGWOOD AVE, KARP 08213, BOSTON, MA 02115-5724
(617) 919-2116
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
53444
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6181716
—
MA
Enumeration date
11/15/2005
Last updated
05/22/2009
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