Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 14194 | MA |
NPI | 1164484598 |
---|---|
Provider Name | Dr. David Arthur Chernin |
First Address | Brookline, MA 02446-2917 |
Second Address | Brookline, MA 02446-2917 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 08/07/2007 |