Individual
DR. MICHAEL A PANZARA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 835, BOSTON, MA 02114-3117
(617) 726-7643
(617) 726-6991
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
152373
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152373
TUFTS HEALTH PLAN
MA
05
—
3193926
—
MA
01
—
J21166
BCBS MA
MA
Enumeration date
11/10/2005
Last updated
07/08/2007
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