Individual
MR. DAVID JAMES ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
770 CONVERSE ST, LONGMEADOW, MA 01106-1719
(413) 567-3949
(413) 567-0175
Mailing address
PO BOX 393, WILBRAHAM, MA 01095-0393
(508) 595-0531
(508) 829-5367
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
214932
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355810
—
MA
Enumeration date
07/20/2006
Last updated
07/08/2007
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