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Organization
DYNAMICARE HEALTH MEDICAL SERVICES, PLLC
Active
Organization
DYNAMICARE HEALTH MEDICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROBERT GASTFRIEND MD (CHIEF MEDICAL OFFICER)
(855) 539-6264
Entity
Organization
Contact information
Practice address
399 BOYLSTON ST FL 6, BOSTON, MA 02116-3325
(855) 539-6264
(617) 340-2619
Mailing address
6 LIBERTY SQ # 2102, BOSTON, MA 02109-5800
(855) 539-6264
(617) 340-2619
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
07/03/2024
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