Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 216677 | MA |
N | 208000000X | Pediatrician | 216677 | MA |
N | 2080P0207X | Pediatric Hematology-Oncologist | 216677 | MA |
NPI | 1558320762 |
---|---|
Provider Name | Dr. David Alan Sweetser |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2696 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 15/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2007801 | (05) | MA |
216677 | TUFTS HEALTH PLAN (01) | MA |
G99192 | (02) | |
J26055 | BCBS MA (01) | MA |