Watkins, Michael T

Watkins, Michael T is an individual health care provider with primary practice located at 15 Parkman St Wac 458, Boston MA 02114-3117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Watkins, Michael T can be contacted via phone (617) 726-0908.

Contact Information

Primary practice address
15 Parkman St Wac 458 Boston MA 02114-3117
Fax: (617) 726-2560
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 56029 Massachusetts

Profile Details

NPI number 1154305472
LBN Legal business name Watkins, Michael T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jan 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154305472 NPPES
Massachusetts Other 056029 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3028232 TUFTS HEALTH PLAN
Massachusetts Other J06928 TUFTS HEALTH PLAN

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