| David August MD, LLC | |
|
25 Boylston St Suite 315 Chestnut Hill MA 02467-1715 | |
| (617) 916-0895 | |
| (617) 916-0937 |
| Full Name | David August MD, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 25 Boylston St, Chestnut Hill, Massachusetts |
| Authorized Official Name and Position | Amy Wilson (MANAGER) |
| Authorized Official Contact | 6179160895 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David August MD, LLC 5 Alveston St Boston MA 02130-2804 Ph: (617) 797-1967 | David August MD, LLC 25 Boylston St Suite 315 Chestnut Hill MA 02467-1715 Ph: (617) 916-0895 |
| NPI Number | 1972935534 |
|---|---|
| Provider Enumeration Date | 08/06/2013 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 4688818388 |
|---|---|
| Medicare Enrollment ID | O20130919000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972935534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | David August |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760420079 PECOS PAC ID: 5799731030 Enrollment ID: I20050329001355 |
| Provider Name | Johnathon Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952064073 PECOS PAC ID: 0749671485 Enrollment ID: I20220115000084 |
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