Healthcare Provider Details

I. General information

NPI: 1578872099
Provider Name (Legal Business Name): DAVID MEE P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2010
Last Update Date: 09/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 FAUNCE CORNER MALL RD
NORTH DARTMOUTH MA
02747-6216
US

IV. Provider business mailing address

145 FAUNCE CORNER MALL RD
NORTH DARTMOUTH MA
02747-6216
US

V. Phone/Fax

Practice location:
  • Phone: 508-993-7601
  • Fax:
Mailing address:
  • Phone: 508-993-7601
  • Fax: 508-997-0523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPAT0031
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: