Individual
DAVID N LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, WRN 2, BOSTON, MA 02114-2621
(617) 726-2966
(617) 726-7533
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
57278
MA
207ZP0101X
Anatomic Pathology Physician
Primary
57278
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057278
TUFTS HEALTH PLAN
MA
05
—
3089649
—
MA
01
—
J12149
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
04/23/2018
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