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NPI Code Detail

MEDICARE: DAVID MERSON

MEDICARE: DAVID MERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist18781MA

General Provider Information

NPI Number : 1356674881
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MERSON
Provider Business Mailing Address
First Line : 1 BRAINTREE ST
Second Line :
City : ALLSTON
State : MA
Zip : 02134-1602
Country : US
Telephone Number : 617-787-8700
Fax Number : 617-787-8106
Provider Business Practice Location Address
First Line : 1 BRAINTREE ST
Second Line :
City : ALLSTON
State : MA
Zip : 02134-1602
Country : US
Telephone Number : 617-787-8700
Fax Number : 617-787-8106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2009
Last Update Date : 09/16/2009

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Directions to “ DAVID MERSON ” Practice Location

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