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Individual

DAVID MIRANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(866) 925-4767
Mailing address
1959 NE PACIFIC ST, SUITE BB-487, SEATTLE, WA 98195-6410

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1024243
MA
2086S0102X
Surgical Critical Care Physician
1024243
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/15/2016
Last updated
02/28/2026
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