Individual provider · Type 1 NPI

Miyako Watanabe, DO

Student in an Organized Health Care Education/Training Program · Malden, MA

NPI number 1821738204 Active

Practice location

195 Canal St
Malden, MA 02148-6701

Call (781) 338-0500 Map

Mailing address

4709 Conshohocken Ave
Philadelphia, PA 19131-1514

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1821738204

Miyako Watanabe, DO's National Provider Identifier is 1821738204, issued on Mar 31, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Malden, MA. The record was last updated on Apr 8, 2024.