Provider Demographics
NPI:1932562451
Name:SUBRIZE, MICHAEL W (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:W
Last Name:SUBRIZE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:41 HIGHLAND AVENUE
Mailing Address - Street 2:DEPARTMENT OF RADIOLOGY
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890
Mailing Address - Country:US
Mailing Address - Phone:781-756-2342
Mailing Address - Fax:781-756-2986
Practice Address - Street 1:41 HIGHLAND AVENUE
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890
Practice Address - Country:US
Practice Address - Phone:781-756-2342
Practice Address - Fax:781-756-2986
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2023-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2908252085R0202X, 2085R0204X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program