Specht, Michelle Connolly
Specht, Michelle Connolly is an individual health care provider with primary practice located at 55 Fruit St Yaw 7B Surgical Oncology Associates, Boston MA 02114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Specht, Michelle Connolly can be contacted via phone (617) 726-0340.Contact Information
Primary practice address
55 Fruit St Yaw 7B Surgical Oncology Associates
Boston MA 02114
Phone: (617) 726-0340
Fax: (617) 724-3895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 220567 | Massachusetts |
Profile Details
| NPI number | 1992778187 |
|---|---|
| LBN Legal business name | Specht, Michelle Connolly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Oct 23rd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992778187 | NPPES |
| Massachusetts | MEDICAID | 2069300 | |
| Massachusetts | Other | 469140 | |
| Massachusetts | Other | J27608 |
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