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Individual

DAVID M MEENAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
133 BROOKLINE AVE, INTERNAL MEDICINE, BOSTON, MA 02215-3904
(617) 421-1192
(617) 421-1187
Mailing address
133 BROOKLINE AVE, INTERNAL MEDICINE, BOSTON, MA 02215-3904
(617) 421-1192
(617) 421-1187

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
159120
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0174840
MA
Enumeration date
06/01/2006
Last updated
10/19/2020
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