Individual
DAVID MACMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 522-8110
(617) 971-3852
Mailing address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 522-8110
(617) 971-3852
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
76602
MA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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