Individual
DR. MICHAEL JOSEPH MINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
75 FRANCIS ST, DEPT. OF PATHOLOGY, BOSTON, MA 02115-6110
(617) 732-8613
Mailing address
75 FRANCIS STREET, DEPT. OF PATHOLOGY, BOSTON, MA 02115
(617) 732-8613
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
278295
MA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
267790
MA
Other
Enumeration date
08/11/2016
Last updated
09/05/2019
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