Fefferman, David Samuel

Fefferman, David Samuel is an individual health care provider with primary practice located at 3 Woodland Rd Suite 306, Stoneham MA 02180-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fefferman, David Samuel can be contacted via phone (781) 665-3380.

Contact Information

Primary practice address
3 Woodland Rd Suite 306 Stoneham MA 02180-1702
Phone: (781) 665-3380
Fax: (781) 665-4162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 223626 Massachusetts

Profile Details

NPI number 1720015928
LBN Legal business name Fefferman, David Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 6th, 2012 - about 13 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 1720015928 NPPES
Massachusetts MEDICAID 2108828
Massachusetts Other 468492
Massachusetts Other 3841156
Massachusetts Other J28621
Massachusetts Other AA34654

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