Individual
MICAELA B OWUSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118
(617) 414-5245
(617) 414-5520
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
265040
MA
2084P0804X
Child & Adolescent Psychiatry Physician
265040
MA
Other
Enumeration date
06/11/2013
Last updated
04/18/2019
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