Provider Demographics
NPI:1912146200
Name:TOBIN, MICHAEL PATRICK (MT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:PATRICK
Last Name:TOBIN
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Gender:M
Credentials:MT
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Mailing Address - Street 1:150 S HUNTINGTON AVE
Mailing Address - Street 2:RENAL SECTION 111-RE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130
Mailing Address - Country:US
Mailing Address - Phone:857-364-4682
Mailing Address - Fax:857-364-6685
Practice Address - Street 1:150 S HUNTINGTON AVE
Practice Address - Street 2:RENAL SECTION 111-RE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-4817
Practice Address - Country:US
Practice Address - Phone:857-364-4682
Practice Address - Fax:857-364-6685
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QH0000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyHematology