Deicicchi, David

Deicicchi, David is an sole proprietor health care provider with primary practice located at 41 Avenue Louis Pasteur Ste 216 , Boston MA 02115-5727. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Ambulatory Care. Pharmacy Service Providers / Ambulatory Care is his primary health care specialty. Deicicchi, David can be contacted via phone (617) 264-5872.

Contact Information

Primary practice address
41 Avenue Louis Pasteur Ste 216 Boston MA 02115-5727
Phone: (617) 264-5872
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH232796 Massachusetts
Pharmacy Service Providers / Ambulatory Care 1835P2201X PH232796 Massachusetts

Profile Details

NPI number 1740552835
LBN Legal business name Deicicchi, David
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2012
Last updated Dec 26th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740552835 NPPES
Massachusetts Other MD1123277P MCSR

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