Individual
DR. MICHAEL P ZACCAGNINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE # 219, BOSTON, MA 02215-5400
(617) 667-3364
Mailing address
330 BROOKLINE AVE # 219, BOSTON, MA 02215-5400
(617) 667-3364
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
266397
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
266397
MA
207R00000X
Internal Medicine Physician
252587
MA
Other
Enumeration date
07/01/2012
Last updated
12/14/2016
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