Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 20046 | MA |
NPI | 1114083011 |
---|---|
Provider Name | Dr. David Steuer |
First Address | Cumberland, ME 04021 |
Second Address | Framingham, MA 01701-4648 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 08/07/2007 |