Individual
DR. DEREK CHARLES METZGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 353-3575
Mailing address
55 STATION LNDG APT 220, MEDFORD, MA 02155-5008
(920) 210-7391
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL10957
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DL10957
—
MA
Enumeration date
07/08/2010
Last updated
07/08/2010
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