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Individual

DAVID M. PILGRIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1153 CENTRE ST, SUITE 47, BOSTON, MA 02130-3446
(617) 983-7580
Mailing address
1153 CENTRE ST, SUITE 47, BOSTON, MA 02130-3446
(617) 983-7580

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46111
MA
2084N0400X
Neurology Physician
Primary
46111
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014876
NEIGHBORHOOD HEALTH PLAN
MA
01
1060125-002
CIGNA
MA
05
3003744
MA
01
796023
TUFTS HEALTH PLAN
MA
01
J05661
BLUE CROSS
MA
01
P00150451
MEDICARE RAILROAD
MA
01
PK118
HARVARD PILGRIM
MA
Enumeration date
09/29/2006
Last updated
05/09/2013
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