Individual
DR. MIRANDA ELIZABETH MACHACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-0367
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 777-3432
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
295266
MA
Other
Enumeration date
03/23/2020
Last updated
03/09/2023
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