Individual
DAVID MARK DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 DUDLEY ST, BROOKLINE, MA 02445-5939
(617) 879-2606
Mailing address
1 DUDLEY ST, BROOKLINE, MA 02445-5939
(617) 879-2606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81129
MA
Other
Enumeration date
06/02/2006
Last updated
07/29/2010
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