Individual
DR. MICHAEL CLARENCE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
230 HIGHLAND AVE, SOMERVILLE HOSPITAL / THE CAMBRIDGE HEALTH ALLIANCE, SOMERVILLE, MA 02143-1408
(617) 665-1000
Mailing address
104 SUMMER ST, MALDEN, MA 02148-2520
(413) 441-3718
(413) 458-8663
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0420007895
VT
207RG0100X
Gastroenterology Physician
Primary
52588
MA
207RG0100X
Gastroenterology Physician
MD38144
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6181678
—
MA
Enumeration date
07/14/2005
Last updated
02/14/2012
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