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NPI Code Detail

MEDICARE: DAVID G WATSON MD

MEDICARE: DAVID G WATSON 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
1208000000XPediatrics Physician38546MA

General Provider Information

NPI Number : 1861489148
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID G WATSON MD
Provider Business Mailing Address
First Line : 133 LITTLETON RD
Second Line : SUITE 101
City : WESTFORD
State : MA
Zip : 01886-3198
Country : US
Telephone Number : 978-577-0437
Fax Number :
Provider Business Practice Location Address
First Line : 133 LITTLETON RD
Second Line : SUITE 101
City : WESTFORD
State : MA
Zip : 01886-3198
Country : US
Telephone Number : 978-577-0437
Fax Number : 978-692-9904
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 08/14/2007

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