Provider Demographics
NPI:1831186071
Name:BRITT, MICHAEL R (MD ID)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:R
Last Name:BRITT
Suffix:
Gender:M
Credentials:MD ID
Other - Prefix:
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Mailing Address - Street 1:101 CAMBRIDGE ST
Mailing Address - Street 2:SUITE 380
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-2900
Mailing Address - Country:US
Mailing Address - Phone:781-272-0379
Mailing Address - Fax:781-272-7257
Practice Address - Street 1:101 CAMBRIDGE ST
Practice Address - Street 2:SUITE 380
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-2900
Practice Address - Country:US
Practice Address - Phone:781-272-0379
Practice Address - Fax:781-272-7257
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-03
Last Update Date:2014-10-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA49534207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA49534OtherTUFTS
MAB30175OtherBLUE CROSS BS
MA3024539Medicaid
MAB30175OtherBLUE CROSS BS
B97040Medicare UPIN