Individual
DAVID CHARLES WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-4133
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-4133
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1014688
MA
Other
Enumeration date
03/25/2019
Last updated
08/02/2023
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