Individual
DR. MICHAEL J MISIALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 243-6854
(617) 243-5809
Mailing address
1342 BELMONT ST, SUITE 205, BROCKTON, MA 02301-4436
(508) 580-1670
(508) 586-1741
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
160578
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD11374
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7056580
—
RI
Enumeration date
08/19/2006
Last updated
03/25/2015
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