person
Jared T Mickelson, DO
Pulmonary Disease Physician in Worcester, Massachusetts
NPI 1952720625

Jared T Mickelson is a Pulmonary Disease Physician based in Boston, MA and is specialized in Pulmonary Disease. Jared T Mickelson practices in Worcester, MA and has the professional credentials of DO. The NPI Number for Jared T Mickelson is 1952720625 and holds a License No. 270485 (Massachusetts).

The current practice location address for Jared T Mickelson is 55 Lake Ave N, Worcester, MA and can be reached out via phone at 508-856-1975 and via fax at 774-442-3999.

Location: 55 Lake Ave N, Worcester, MA, 02241-5348
person
Provider Profile Details
NPI Number
1952720625
Provider Name
Jared T Mickelson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA, 02241-5348
Phone Number
508-856-1975
Fax Number
774-442-3999
Provider Enumeration Date
04/10/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110115745A 05 MA
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N
City
State
Zip
01655-0002
Phone Number
508-856-1975
Fax Number
774-442-3999
person
Provider Business Mailing Address Details
Address
55 Lake Ave N
City
State
Zip
01655-0002
Phone Number
508-856-1975
Fax Number
774-442-3999
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
License No.
270485 (Massachusetts)
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
License No.
270485 (Massachusetts)
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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