Fefferman, David Samuel
Fefferman, David Samuel is an individual health care provider with primary practice located at 91 Montvale Ave Ste 206 , Stoneham MA 02180-3649. 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
91 Montvale Ave Ste 206
Stoneham MA 02180-3649
Phone: (781) 665-3380
Fax: (781) 665-8288
Website:
Health care specialties
| Specialty | Code | License # | 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 | Apr 24th, 2026 - about 7 months 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 | 1720015928 | NPPES |
| Massachusetts | MEDICAID | 2108828 | |
| Massachusetts | Other | 468492 | |
| Massachusetts | Other | 3841156 | |
| Massachusetts | Other | J28621 | |
| Massachusetts | Other | AA34654 |
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