Individual
DR. DAVID WALTER CASAVANT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, ELL 317, BOSTON, MA 02114-2621
(617) 724-4380
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
155793
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155793
TUFTS HEALTH PLAN
MA
05
—
3183947
—
MA
01
—
J18840
BCBS MA
MA
Enumeration date
11/07/2005
Last updated
07/08/2007
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