Michelson, Alan D

Michelson, Alan D is an individual health care provider with primary practice located at 300 Longwood Ave Karp 08213, Boston MA 02115-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Michelson, Alan D can be contacted via phone (617) 919-2116.

Contact Information

Primary practice address
300 Longwood Ave Karp 08213 Boston MA 02115-5724
Phone: (617) 919-2116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 53444 Massachusetts

Profile Details

NPI number 1760464994
LBN Legal business name Michelson, Alan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated May 22nd, 2009 - about 16 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 1760464994 NPPES
Massachusetts MEDICAID 6181716

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