Provider Demographics
NPI:1962079368
Name:MICHALOWSKI, ANNA KEATING (MD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:KEATING
Last Name:MICHALOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-3177
Mailing Address - Country:US
Mailing Address - Phone:781-910-5508
Mailing Address - Fax:
Practice Address - Street 1:538 NEWTON ST
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-3177
Practice Address - Country:US
Practice Address - Phone:781-910-5508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-05
Last Update Date:2021-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA289138207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery