Individual
DAVID J ANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1628
(617) 661-6225
Mailing address
2500 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1628
(617) 661-6225
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
153219
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
268251
MAGELLAN
MA
01
—
7306554
AETNA
MA
01
—
799125
TUFTS HEALTH PLAN
MA
01
—
J19585
BCBS OF MA
MA
Enumeration date
08/22/2006
Last updated
11/24/2023
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