Individual
DR. DAVID FOWLER TEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
380 PLEASANT ST, SUITE 1-1, MALDEN, MA 02148-8123
(781) 324-9100
(781) 397-1345
Mailing address
380 PLEASANT ST, SUITE 1-1, MALDEN, MA 02148-8123
(781) 324-9100
(781) 397-1345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38628
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2051737
—
MA
01
—
706181
TUFTS
MA
01
—
B27151
BCBS OF MA.
MA
Enumeration date
03/09/2006
Last updated
07/08/2007
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