Mooney, David P

Mooney, David P is an individual health care provider with primary practice located at 300 Longwood Ave Fegan 3, Boston MA 02115-5724. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Mooney, David P can be contacted via phone (617) 355-6359.

Contact Information

Primary practice address
300 Longwood Ave Fegan 3 Boston MA 02115-5724
Fax: (617) 730-0298
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 79559 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 79559 Massachusetts

Profile Details

NPI number 1881613370
LBN Legal business name Mooney, David P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 21st, 2014 - about 11 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 1881613370 NPPES
Massachusetts MEDICAID 3115631

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