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Organization

DYNAMICARE HEALTH MEDICAL SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID ROBERT GASTFRIEND MD (CHIEF MEDICAL OFFICER)
(855) 539-6264
Entity
Organization

Contact information

Practice address
399 BOYLSTON ST FL 6, BOSTON, MA 02116-3325
(855) 539-6264
(617) 340-2619
Mailing address
6 LIBERTY SQ # 2102, BOSTON, MA 02109-5800
(855) 539-6264
(617) 340-2619

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
208D00000X
General Practice Physician
Primary

Other

Enumeration date
05/04/2022
Last updated
07/03/2024
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