Organization
DAVID G DOCTOR MD ORTHOPAEDICS AND SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID G DOCTOR MD (PRESIDENT)
(413) 788-7321
Entity
Organization
Contact information
Practice address
299 CAREW STREET, SUITE 305, SPRINGFIELD, MA 01104
(413) 788-7321
(413) 733-6369
Mailing address
PO BOX 789, LUDLOW, MA 01056-0789
(413) 509-1000
(413) 509-1003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
080082
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9774483
—
MA
01
—
M16239
BC BS OF MA
MA
Enumeration date
10/24/2007
Last updated
02/02/2010
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