Individual
MICHELLE SZASTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 N BEACON ST, WATERTOWN, MA 02472-2751
(216) 543-3427
Mailing address
4380 N MAIN ST APT 307, FALL RIVER, MA 02720-1713
(216) 543-3427
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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