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Individual

DAVID M ELVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
237 HAMPSHIRE ST, CAMBRIDGE, MA 02139-1306
(617) 575-5550
Mailing address
237 HAMPSHIRE ST, CAMBRIDGE, MA 02139-1306
(617) 575-5550

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
213950
MA
208000000X
Pediatrics Physician
213950
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0032463
NHP
MA
01
110241017
MEDICARE RAIL ROAD
MA
05
2020530
MA
01
213950
TUFTS HELATH PLAN
MA
01
3020405
ATENA
MA
01
49-00017
EVERCARE
MA
01
693309
HPHC
MA
01
975458
NETWORK HEALTH
MA
01
ELJ25160
BCBS
MA
Enumeration date
07/20/2006
Last updated
02/14/2012
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