Davis Square Family Practice in Somerville - Family Medicine
Davis Square Family Practice - NPI 1780782409
Davis Square Family Practice is a Family Medicine in Somerville, Massachusetts. Davis Square Family Practice practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Davis Square Family Practice is 1780782409. The last update date is 2011-11-10.
Davis Square Family Practice's current location address is 260 Elm St, Somerville, Massachusetts. You can contact this provider via phone number 6176669577 and fax number 6176663190. The mailing address for Davis Square Family Practice is 260 Elm St, Somerville, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Davis Square Family Practice |
|---|---|
| Address | 260 Elm St, Somerville, Massachusetts |
| Phone Number | 6176669577 |
| Fax Number | 6176663190 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bershel Deborah |
| Credentials | MD |
| Telephone Number | 6176669577 |
NPI Number Detail
| NPI Number | 1780782409 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2011-11-10 |
Provider Mailing Address Detail
| Address | 260 Elm St |
|---|---|
| City | Somerville |
| State | Massachusetts (MA) |
| Post Code | 21442951 |
| Phone Number | 6176669577 |
| Fax Number | 6176663190 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M18036 | MA | BCBS | |
| 694934 | MA | TUFTS HEALTH PLAN | |
| 80946 | MA | FALLON | |
| 9722131 | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Davis Square Family Practice by the Centers for Medicare & Medicaid Services?
The Davis Square Family Practice has been assigned the NPI (National Provider Identifier) 1780782409. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Davis Square Family Practice?
The Davis Square Family Practice is physically situated at 260 Elm St, in the city of Somerville, state of MA, with the postal code 21442951.
What is Davis Square Family Practice's area of expertise and its corresponding taxonomy classification?
The Davis Square Family Practice's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1780782409 assigned to Davis Square Family Practice?
The Davis Square Family Practice was issued its 1780782409 on 2006-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Davis Square Family Practice last refreshed?
The information related to the Davis Square Family Practice, including its address, specialty, and other relevant details, was last updated on 2011-11-10.
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