Individual
DR. DAVID HURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2181 WASHINGTON ST, SUITE 305, ROXBURY, MA 02119-2082
(617) 541-0772
(617) 427-6220
Mailing address
85 E INDIA ROW, UNIT 35-G, BOSTON, MA 02110-3320
(857) 891-8788
(617) 427-6220
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
215879
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005531
MASS HEALTH
MA
01
—
2300293
UNITIED HEALTHCARE
MA
01
—
3110263
AETNA
MA
01
—
43531603
HCVM
MA
01
—
J25762
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/12/2006
Last updated
07/08/2007
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