Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 12666 | MA |
NPI | 1053507954 |
---|---|
Provider Name | David A. Cutrell |
First Address | Framingham, MA 01702-2934 |
Second Address | Framingham, MA 01702-2934 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2007 |
Last Update Date | 24/09/2007 |