Individual
DANIEL STARK PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 643-0800
Mailing address
144 BUNKER HILL ST APT 3-1, CHARLESTOWN, MA 02129-3171
(509) 833-2088
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
284405
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/23/2020
Last updated
01/31/2023
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