Provider Demographics
NPI:1194144477
Name:EADES, MICAH (MD)
Entity type:Individual
Prefix:DR
First Name:MICAH
Middle Name:
Last Name:EADES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:330 BROOKLINE AVENUE, E/SHAPIRO BLDG
Mailing Address - Street 2:BIDMC HEALTHCARE ASSOCIATES
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-754-9600
Mailing Address - Fax:617-667-8665
Practice Address - Street 1:BIDMC HEALTHCARE ASSOCIATES
Practice Address - Street 2:330 BROOKLINE AVENUE, E/SHAPIRO BLDG
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-754-9600
Practice Address - Fax:617-667-8665
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
MA270336207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine