Individual
DR. MICHAEL G WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, SJ3ID, BRIGHTON, MA 02135-2907
(617) 789-2372
(617) 789-5048
Mailing address
736 CAMBRIDGE ST, SJ3ID, BRIGHTON, MA 02135-2907
(617) 789-2372
(617) 789-5048
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35437
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035707
—
MA
Enumeration date
09/20/2006
Last updated
07/08/2007
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