| Angus J. Michaels, M.D., P.C. | |
|
250 Green St Suite 104 Gardner MA 01440-1396 | |
| (978) 669-5630 | |
| (978) 669-5627 |
| Full Name | Angus J. Michaels, M.D., P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 Green St, Gardner, Massachusetts |
| Authorized Official Name and Position | Angus J. Michaels (PRESIDENT) |
| Authorized Official Contact | 9786695630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angus J. Michaels, M.D., P.C. 250 Green St Suite 104 Gardner MA 01440-1396 Ph: (978) 669-5630 | Angus J. Michaels, M.D., P.C. 250 Green St Suite 104 Gardner MA 01440-1396 Ph: (978) 669-5630 |
| NPI Number | 1679719942 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 03/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679719942 | NPI | - | NPPES |
| 0010343 | Other | MA | MEDICARE |
| 110078807A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 233839 (Massachusetts) | Primary |
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