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Physician Compare National (NPI:1437483310)

HEALTHCARE PROVIDER: MICHELLE LIANG M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1437483310
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4587805585
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20130801000766
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name LIANG
Individual professional last name
Provider First Name MICHELLE
Individual professional first name
Provider Middle Name C
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2009
Individual professional's medical school graduation year
Primary Specialty OPHTHALMOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name MICROSURGICAL EYE CONSULTANTS
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 9739140104
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 10
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 31 CENTENNIAL DR
Group Practice or individual's line 1 address
City PEABODY
Group Practice or individual's city
State MA
Group Practice or individual's state
Zip Code 019607901
Group Practice or individual's zip code (9 digits when available)
Phone Number 9785314400
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 220116
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 TUFTS MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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