Docktor, Michael

Docktor, Michael is an individual health care provider with primary practice located at 300 Longwood Ave Hunnewell Ground, Boston MA 02115-5724. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Docktor, Michael can be contacted via phone (617) 355-6058.

Contact Information

Primary practice address
300 Longwood Ave Hunnewell Ground Boston MA 02115-5724
Phone: (617) 355-6058
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 235349 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 235349 Massachusetts

Profile Details

NPI number 1669650685
LBN Legal business name Docktor, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2008
Last updated Dec 9th, 2015 - about 10 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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