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Individual

ERIBERTO MICHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT ST., COX 630, BOSTON, MA 02114-0211
(206) 465-2611
Mailing address
281 WALNUT ST APT 1, BROOKLINE, MA 02445-6729
(206) 465-2611

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
125066029
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
288175
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110176748A
MA
05
3131601
NH
Enumeration date
03/26/2014
Last updated
04/03/2024
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