MEDICARE: MICHAEL ANTHONY DAWES 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	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	278301	MA
2	2084P0802X	Addiction Psychiatry Physician	278301	MA
3	2084P0800X	Psychiatry Physician	278301	MA

General Provider Information

NPI Number	:	1841274594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ANTHONY DAWES MD

Provider Business Mailing Address
First Line	:	150 S HUNTINGTON AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02130-4817
Country	:	US
Telephone Number	:	210-426-8458
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 S HUNTINGTON AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02130-4817
Country	:	US
Telephone Number	:	210-426-8458
Fax Number	:

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

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	06/08/2023

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