Individual
AUTUMN IAN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01089268A
IN
207P00000X
Emergency Medicine Physician
Primary
292515
MA
Other
Enumeration date
04/08/2019
Last updated
04/14/2026
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