Individual
DAVID ANDREW ETTENGER IMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 LONGWOOD AVE, HUNNEWELL BUILDING, PAVILION 129, HOUSESTAFF LOUNGE, BOSTON, MA 02115
(617) 355-8241
Mailing address
55 FRUIT ST # 444, BOSTON, MA 02114-2696
(617) 726-6890
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
04/30/2024
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