Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 1834 | MA |
NPI | 1073690285 |
---|---|
Provider Name | Dr. David Crosier Whitney SR. |
First Address | Falmouth, MA 02540-3909 |
Second Address | Falmouth, MA 02540-3909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 28/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9769765 | (05) | MA |
T58795 | UPIN (01) | MA |