Provider Demographics
NPI:1235308289
Name:MICHAEL P. BIBER, M.D., P.C.
Entity Type:Organization
Organization Name:MICHAEL P. BIBER, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:BIBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-232-6900
Mailing Address - Street 1:1180 BEACON ST
Mailing Address - Street 2:2D
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-3885
Mailing Address - Country:US
Mailing Address - Phone:617-232-6900
Mailing Address - Fax:617-739-7111
Practice Address - Street 1:1180 BEACON ST
Practice Address - Street 2:2D
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-3885
Practice Address - Country:US
Practice Address - Phone:617-232-6900
Practice Address - Fax:617-739-7111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA720562084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty