Individual
MR. DAVID KEITH BAILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 LONGWOOD AVE # BADER634, BOSTON, MA 02115-5724
(617) 955-7327
Mailing address
20 WEBSTER ST APT 201, BROOKLINE, MA 02446-4963
(617) 271-1990
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
AC1220007
MA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
8598708-1204
UT
208M00000X
Hospitalist Physician
8598708-1204
UT
Other
Enumeration date
05/09/2007
Last updated
12/12/2024
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