Individual
DR. DAVID AGOADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
133 BROOKLINE AVE., HVMA, BOSTON, MA 02215
(617) 421-8830
Mailing address
147 MILK ST FL 9, BOSTON, MA 02109-4806
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1619
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
981231
—
MA
01
—
Y70731
BLUE CROSS
MA
Enumeration date
08/15/2005
Last updated
10/12/2011
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