Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 2392 | MA |
N | 222Z00000X | Podiatrist | 2392 | MA |
Y | 213ES0131X | Foot Surgery | 2392 | MA |
NPI | 1285623694 |
---|---|
Provider Name | Dr. David E. Negron |
First Address | Boston, MA 02118-2371 |
Second Address | Boston, MA 02118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2005 |
Last Update Date | 28/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110096050A | (05) | MA |
P92371 | (02) | NY |