Fifer, Michael A
Fifer, Michael A is an individual health care provider with primary practice located at 55 Fruit St Grb 8, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Fifer, Michael A can be contacted via phone (617) 726-1832.Contact Information
Primary practice address
55 Fruit St Grb 8
Boston MA 02114-2696
Phone: (617) 726-1832
Fax: (617) 726-7437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 45926 | Massachusetts |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 45926 | Massachusetts |
Profile Details
| NPI number | 1730170630 |
|---|---|
| LBN Legal business name | Fifer, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jan 16th, 2013 - about 13 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 | 1730170630 | NPPES |
| Massachusetts | Other | 719437 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J02987 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 6175562 | TUFTS HEALTH PLAN |
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