O'Brien, Michael J

O'Brien, Michael J is an individual health care provider with primary practice located at 319 Longwood Ave 6Th Floor, Boston MA 02115-5728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. O'Brien, Michael J can be contacted via phone (617) 355-3501.

Contact Information

Primary practice address
319 Longwood Ave 6Th Floor Boston MA 02115-5728
Phone: (617) 355-3501
Fax: (617) 355-0176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 213465 Massachusetts

Profile Details

NPI number 1952335606
LBN Legal business name O'Brien, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jun 6th, 2008 - 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 1952335606 NPPES
Massachusetts MEDICAID 0193780

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