Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 219918 | MA |
N | 207L00000X | Anesthesiologist | 259903 | NY |
N | 207L00000X | Anesthesiologist | 50540 | AZ |
NPI | 1003857590 |
---|---|
Provider Name | Dr. David Joswick |
First Address | Boston, MA 02111-1552 |
Second Address | Boston, MA 02111-1552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 24/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2090937 | (05) | MA |
I23818 | (02) | MA |
P00187160 | RAILROAD MEDICARE (01) |