MEDICARE: DAVID M GUYETTE MD PC

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
1	156FX1101X	Ophthalmic Assistant	42990	MA

General Provider Information

NPI Number	:	1558568196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID M GUYETTE MD PC

Provider Business Mailing Address
First Line	:	600 MAIN STREET
Second Line	:
City	:	MALDEN
State	:	MA
Zip	:	02148
Country	:	US
Telephone Number	:	781-321-6463
Fax Number	:	781-279-2739

Provider Business Practice Location Address
First Line	:	600 MAIN ST
Second Line	:
City	:	MALDEN
State	:	MA
Zip	:	02148-3919
Country	:	US
Telephone Number	:	781-321-6463
Fax Number	:	781-279-2739

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	FRANCES GUYETTE
Credential	:
Telephone Number	:	781-321-6463

Provider Enumeration Date	:	06/28/2007
Last Update Date	:	05/14/2012

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