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Individual

DR. DAVID SAUL GELLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
74 LOOMIS STREET, PATRIOT PEDIATRICS, BEDFORD, MA 01730-2248
(781) 674-2900
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
150518
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150518
TUFTS HEALTH PLAN
MA
05
3153614
MA
01
J17047
BCBS MA
MA
Enumeration date
02/01/2006
Last updated
07/08/2007
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