Individual
MICHAEL J O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
319 LONGWOOD AVE, 6TH FLOOR, BOSTON, MA 02115-5728
(617) 355-3501
(617) 355-0176
Mailing address
319 LONGWOOD AVE, 6TH FLOOR, BOSTON, MA 02115-5728
(617) 355-3501
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
213465
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0193780
—
MA
Enumeration date
07/10/2006
Last updated
06/06/2008
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