OrganizationActive
American Well Physicians Michigan PC
NPI 1457787160 · General Practice Physician · Boston, MA
Provider details
- NPI number
- 1457787160
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peter Antall, President(617) 204-3500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
75 State St Fl 26
Boston, MA 02109-1827
Phone: (617) 204-3500
Approximate (ZIP-level) locationGet directions
Mailing address
75 State St Fl 26
Boston, MA 02109-1827
Registry dates
- Enumerated
- 2013-09-25
- Last updated
- 2015-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.