Pangburn, David

Pangburn, David is an individual health care provider with primary practice located at 29 Massachusetts Ave , Arlington MA 02474-8602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pangburn, David can be contacted via phone (781) 643-4507.

Contact Information

Primary practice address
29 Massachusetts Ave Arlington MA 02474-8602
Phone: (781) 643-4507
Fax: (781) 646-6151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 71232 Massachusetts

Profile Details

NPI number 1952365074
LBN Legal business name Pangburn, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 1st, 2010 - 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 1952365074 NPPES
Massachusetts MEDICAID 3174280

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