Individual
DR. DAVID MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
323 LOWELL ST STE 302, ANDOVER, MA 01810-4659
(978) 475-4202
Mailing address
1 GENERAL STREET, PROVIDER ENROLLMENT, LAWRENCE, MA 01842
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
277283
MA
208C00000X
Colon & Rectal Surgery Physician
277283
MA
Other
Enumeration date
06/23/2016
Last updated
03/15/2025
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