Individual
DAVID ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
294013
MA
207R00000X
Internal Medicine Physician
MD60878080
WA
207RI0200X
Infectious Disease Physician
294013
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699139535
—
WA
Enumeration date
04/06/2016
Last updated
09/19/2024
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