Individual
MICHELLE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
55 FRUIT ST, HMU BLAKE 1500, BOSTON, MA 02114
(617) 724-3874
Mailing address
55 FRUIT ST, HMU BLAKE 1500, BOSTON, MA 02114-2696
(617) 724-3874
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
PA4790
MA
Other
Enumeration date
08/05/2013
Last updated
06/23/2019
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