Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael K Antonietti

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013714625

Michael K Antonietti is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2025

Practice location Address checks out

243 Charles St
Boston, MA 02114-3002
Phone: (617) 523-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 3017951 (MA)

Record details

NPI number1013714625
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 1, 2025
Last updated in NPPESMarch 1, 2025
Certification dateMarch 1, 2025
Mailing address243 Charles St, Boston, MA 02114-3002

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