Individual
DR. DOUGLAS R DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
55 EAST 124TH STREET, NY, NY 10035-1518
(212) 410-8100
Mailing address
632 BOULEVARD, NEW MILFORD, NJ 07646-2067
(201) 262-3915
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
003074
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00692993
—
NY
Enumeration date
10/10/2008
Last updated
10/10/2008
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