| Dtsuccessma Inc | |
|
36 Bryon Rd Apt 4 Chestnut Hill MA 02467-3310 | |
| (617) 942-8463 | |
| Not Available |
| Full Name | Dtsuccessma Inc |
|---|---|
| Speciality | General Practice |
| Location | 36 Bryon Rd Apt 4, Chestnut Hill, Massachusetts |
| Authorized Official Name and Position | David Tilman (OWNER) |
| Authorized Official Contact | 6176426000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtsuccessma Inc 36 Bryon Rd Apt 4 Chestnut Hill MA 02467-3310 Ph: (617) 942-8463 | Dtsuccessma Inc 36 Bryon Rd Apt 4 Chestnut Hill MA 02467-3310 Ph: (617) 942-8463 |
| NPI Number | 1376260026 |
|---|---|
| Provider Enumeration Date | 10/24/2022 |
| Last Update Date | 10/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376260026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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