Agoada, David

Agoada, David is an individual health care provider with primary practice located at 133 Brookline Ave. Hvma, Boston MA 02215. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Agoada, David can be contacted via phone (617) 421-8830.

Contact Information

Primary practice address
133 Brookline Ave. Hvma Boston MA 02215
Phone: (617) 421-8830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1619 Massachusetts

Profile Details

NPI number 1558353714
LBN Legal business name Agoada, David
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Oct 12th, 2011 - about 15 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 1558353714 NPPES
Massachusetts MEDICAID 981231
Massachusetts Other Y70731

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