Individual
DR. DAVID P MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, FEGAN 3, BOSTON, MA 02115-5724
(617) 355-6359
(617) 730-0298
Mailing address
135 GLEN RD, WELLESLEY, MA 02481-1515
(781) 237-2338
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
79559
MA
2086S0120X
Pediatric Surgery Physician
Primary
79559
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3115631
—
MA
Enumeration date
07/18/2006
Last updated
03/21/2014
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