Individual provider · Type 1 NPI
Michael Avery, MD, PhD
Student in an Organized Health Care Education/Training Program · Boston, MA
NPI number
1235717067
Active
Practice location
110 Francis Street, Suite 9B, Lowry Medical Office Building
Boston, MA 02215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1235717067
Michael Avery, MD, PhD's National Provider Identifier is 1235717067, issued on Apr 1, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Apr 1, 2021.