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Dr. Michael A Panzara, MD

Psychiatry & Neurology, Neurology in Boston, MA. Individual provider (NPI-1).

NPI number1790766145
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1790766145
Entity type
Individual (NPI-1)
Name
Dr. Michael A Panzara
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 10, 2005
Last updated
Jul 13, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology152373MAYes

Practice location

15 Parkman St
Wac 835
Boston, MA 02114-3117

Phone 617-726-7643 · Fax 617-726-6991

Mailing address

Po Box 9142
Charlestown, MA 02129-9142

Phone 617-724-0287 · Fax 617-726-2894

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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