David Menon Corporation | |
33 Bow St Somerville MA 02143-2937 | |
(617) 625-9992 | |
Not Available |
Full Name | David Menon Corporation |
---|---|
Speciality | Internal Medicine |
Location | 33 Bow St, Somerville, Massachusetts |
Authorized Official Name and Position | David Menon (PRESIDENT/OWNER) |
Authorized Official Contact | 6176259992 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
David Menon Corporation Po Box 201 Somerville MA 02143-0004 Ph: (617) 625-9992 | David Menon Corporation 33 Bow St Somerville MA 02143-2937 Ph: (617) 625-9992 |
NPI Number | 1891709309 |
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Provider Enumeration Date | 07/28/2006 |
Last Update Date | 10/10/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891709309 | NPI | - | NPPES |
M18125 | Other | MA | BCBS |
694457 | Other | MA | TUFTS |
9716599 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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