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Individual

DAVID EDINBURGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
830 OAK ST, BROCKTON, MA 02301-1168
(508) 427-2222
(508) 427-2545
Mailing address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 562-5359
(617) 562-5415

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
50651
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2079321
MA
Enumeration date
01/28/2006
Last updated
01/08/2008
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