Provider Demographics
NPI:1295047603
Name:MIGLIORE, MATTIA M (RPH, PHD)
Entity type:Individual
Prefix:DR
First Name:MATTIA
Middle Name:M
Last Name:MIGLIORE
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Gender:F
Credentials:RPH, PHD
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Mailing Address - Street 1:179 LONGWOOD AVE
Mailing Address - Street 2:W329
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5804
Mailing Address - Country:US
Mailing Address - Phone:617-879-5924
Mailing Address - Fax:617-732-2228
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL ANTICOAGULATION SERVICE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-8887
Practice Address - Fax:617-975-0989
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
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Provider Licenses
StateLicense IDTaxonomies
MA236841835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist