Individual
DR. MICHELLE CONNOLLY SPECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 7B SURGICAL ONCOLOGY ASSOCIATES, BOSTON, MA 02114
(617) 726-0340
(617) 724-3895
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
220567
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069300
—
MA
01
—
469140
TUFTS HEALTH PLAN
MA
01
—
J27608
BCBS MA
MA
Enumeration date
02/09/2006
Last updated
10/23/2012
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