Davis Square Family Practice
NPI #1780782409 in Somerville, Massachusetts
Provider Information
- NPI Number
- 1780782409
- Entity Type
- Organization
- Organization Name
- Davis Square Family Practice
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Nov 10, 2011
Practice Location
- Address
- 260 ELM ST
- Address 2
- SUITE 105
- City
- Somerville
- State
- Massachusetts
- ZIP Code
- 02144-2951
- Phone
- (617) 666-9577
Authorized Official
- Name
- DR. DEBORAH BERSHEL, MD
- Title
- OWNER
- Phone
- (617) 666-9577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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