Individual
MICHAEL K HYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3452
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
12053
RI
207RC0000X
Cardiovascular Disease Physician
Primary
208744
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
208744
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD12053
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110005887A
—
MA
05
—
P01102597
—
RI
Enumeration date
06/15/2006
Last updated
10/06/2022
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