Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 48007 | MA |
NPI | 1003800749 |
---|---|
Provider Name | Daniel J Townsend |
First Address | Boston, MA 02114-2743 |
Second Address | Boston, MA 02114-2743 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 06/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6175244 | (05) | MA |
J02653 | FORMER ID (01) | MA |