Individual
DANIEL DUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
55 HIGHLAND AVE STE 104, SALEM, MA 01970-2100
(978) 745-4489
Mailing address
55 HIGHLAND AVE STE 104, SALEM, MA 01970-2100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1017438
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1017438
MA
207RP1001X
Pulmonary Disease Physician
Primary
1017438
MA
Other
Enumeration date
03/27/2017
Last updated
02/07/2024
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