Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 208219 | MA |
N | 207RC0000X | Internist - Cardiovascular Disease | 208219 | MA |
NPI | 1841302387 |
---|---|
Provider Name | David M. Venesy |
First Address | Burlington, MA 01805-0001 |
Second Address | Burlington, MA 01805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 18/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110001761A | (05) | MA |
H30438 | (02) |