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NPI Code Detail

MEDICARE: DAVID S. ST-LAURENT MD

MEDICARE:   DAVID S. ST-LAURENT  MD
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
1207P00000XEmergency Medicine Physician57248MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538144100
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID S. ST-LAURENT MD
Provider Business Mailing Address
First Line : 48 WEDGEWOOD DR
Second Line :
City : HOPKINTON
State : MA
Zip : 01748-1180
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 48 WEDGEWOOD DR
Second Line :
City : HOPKINTON
State : MA
Zip : 01748-1180
Country : US
Telephone Number : 774-278-1569
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 10/29/2021

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Directions to “ DAVID S. ST-LAURENT MD” Practice Location

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