Organization · NPI-2

Angus J. Michaels, M.D., P.C.

Internal Medicine · Gardner, MA

NPI number1679719942
StatusActive
Last updated in NPPESMar 16, 2010

Details

NPI
1679719942
Entity type
Organization (NPI-2)
Legal business name
Angus J. Michaels, M.D., P.C.
Organization subpart
No
Enumeration date
Dec 17, 2008
Last updated
Mar 16, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine233839MAYes

Practice location

250 Green St
Suite 104
Gardner, MA 01440-1396

Phone 978-669-5630 · Fax 978-669-5627

Mailing address

250 Green St
Suite 104
Gardner, MA 01440-1396

Phone 978-669-5630 · Fax 978-669-5627

Authorized official

Angus J. Michaels
President
9786695630

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