Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0401X | Internist - Addiction Medicine | 246763 | MA |
N | 208000000X | Pediatrician | 246763 | MA |
NPI | 1417139700 |
---|---|
Provider Name | Dr. David Anthony Tortorella |
First Address | Salem, MA 01970-7308 |
Second Address | Tewksbury, MA 01876 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2007 |
Last Update Date | 26/06/2018 |