Organization
DAVIS SQUARE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH BERSHEL MD (OWNER)
(617) 666-9577
Entity
Organization
Contact information
Practice address
260 ELM ST, SUITE 105, SOMERVILLE, MA 02144-2951
(617) 666-9577
(617) 666-3190
Mailing address
260 ELM ST, SUITE 105, SOMERVILLE, MA 02144-2951
(617) 666-9577
(617) 666-3190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
694934
TUFTS HEALTH PLAN
MA
01
—
80946
FALLON
MA
05
—
9722131
—
MA
01
—
M18036
BCBS
MA
Enumeration date
09/20/2006
Last updated
11/10/2011
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