Mudd, David
Mudd, David is an individual health care provider with primary practice located at 1 Pearl St Suite 1000, Brockton MA 02301-2864. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mudd, David can be contacted via phone (508) 897-6080.Contact Information
Primary practice address
1 Pearl St Suite 1000
Brockton MA 02301-2864
Phone: (508) 897-6080
Fax: (508) 897-6085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 73217 | Massachusetts |
Profile Details
| NPI number | 1750376794 |
|---|---|
| LBN Legal business name | Mudd, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | May 2nd, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750376794 | NPPES |
| Massachusetts | MEDICAID | 3075672 |
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