Anthony, Michael Paul

Anthony, Michael Paul is an individual health care provider with primary practice located at 780 Albany St , Boston MA 02118-2755. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Anthony, Michael Paul can be contacted via phone (857) 654-1000.

Contact Information

Primary practice address
780 Albany St Boston MA 02118-2755
Phone: (857) 654-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1077 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA3699 Massachusetts

Profile Details

NPI number 1407132137
LBN Legal business name Anthony, Michael Paul
Credentials PA-C, M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2011
Last updated Apr 20th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407132137 NPPES
Alaska MEDICAID MDA0532

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