Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 161339 | MA |
N | 207RC0000X | Internist - Cardiovascular Disease | 161339 | MA |
NPI | 1679679997 |
---|---|
Provider Name | David Denofrio |
First Address | Boston, MA 02116-5770 |
Second Address | Boston, MA 02111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 16/12/2018 |