Systrom, David Murray

Systrom, David Murray is an individual health care provider with primary practice located at 75 Francis St Clinics 3, Pulmonary, Bwh, Boston MA 02115-6110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Systrom, David Murray can be contacted via phone (617) 525-8986.

Contact Information

Primary practice address
75 Francis St Clinics 3, Pulmonary, Bwh Boston MA 02115-6110
Fax: (617) 732-7421
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 51961 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 51961 Massachusetts

Profile Details

NPI number 1003806282
LBN Legal business name Systrom, David Murray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Aug 29th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003806282 NPPES
Massachusetts Other 051961 TUFTS HEALTH PLAN
Massachusetts Other J05462 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3011798 TUFTS HEALTH PLAN

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