| Doctor Name: | MRS. EMILY MASON MICHAEL |
| NPI Number: | 1588895841 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA3796 |
| Business Practice Address: | 1 Trowbridge Rd Suite 100 Buzzards Bay, MA - 025323660 |
| Business Phone Number: | 5087430314 |
| Business Fax Number: | |
| Mailing Address: | 25 Communications Way, Macc - Revenue Cycle HYANNIS |
| State: | MA |
| Postal Code: | 026011866 |
| Phone Number: | 5089578664 |
| Fax Number: | 5089578677 |
| NPI Enumeration Date: | 08/05/2009 |
| NPI Last Update Date: | 09/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA3796 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |