Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0201X | Internist - Allergy & Immunology | 276776 | MA |
N | 208000000X | Pediatrician | 276776 | MA |
Y | 2080P0201X | Pediatric Allergist | 276776 | MA |
NPI | 1902284029 |
---|---|
Provider Name | Dr. David Pyle |
First Address | Boston, MA 02114-3130 |
Second Address | Boston, MA 02114-3130 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2015 |
Last Update Date | 06/03/2020 |