MEDICARE: MICHAEL MYER SEGAL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246Y00000X	Health Information Specialist/Technologist		MA

General Provider Information

NPI Number	:	1316814825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL MYER SEGAL MD

Provider Business Mailing Address
First Line	:	27 CRAFTS RD
Second Line	:
City	:	CHESTNUT HILL
State	:	MA
Zip	:	02467-1823
Country	:	US
Telephone Number	:	617-566-5383
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 CRAFTS RD
Second Line	:
City	:	CHESTNUT HILL
State	:	MA
Zip	:	02467-1823
Country	:	US
Telephone Number	:	617-566-6777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	10/20/2025

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