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Miyako Watanabe, DO
Student in an Organized Health Care Education/Training Program in Malden, Massachusetts
NPI 1821738204

Miyako Watanabe is a Student in an Organized Health Care Education/Training Program based in Philadelphia, MA. Miyako Watanabe practices in Malden, MA and has the professional credentials of DO. The NPI Number for Miyako Watanabe is 1821738204 and holds a License No. (Massachusetts).

The current practice location address for Miyako Watanabe is 195 Canal St, Malden, MA and can be reached out via phone at 781-338-0500.

Location: 195 Canal St, Malden, MA, 19131-1514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821738204
Provider Name
Miyako Watanabe
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
195 Canal St, Malden, MA, 19131-1514
Phone Number
781-338-0500
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
195 Canal St
City
Malden
State
Massachusetts
Zip
02148-6701
Phone Number
781-338-0500
Fax Number
person
Provider Business Mailing Address Details
Address
195 Canal St
City
Malden
State
Massachusetts
Zip
02148-6701
Phone Number
781-338-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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