Individual
DONALD M FOXWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE, INTERNAL MEDICINE, BOSTON, MA 02215-3904
(617) 421-5804
(617) 421-8865
Mailing address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53686
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053686
TUFTS
MA
05
—
110052441A
—
MA
05
—
3104290
—
MA
01
—
J03548
BLUE CROSS
MA
01
—
PM327
HARVARD PILGRIM
MA
Enumeration date
02/17/2006
Last updated
12/21/2023
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