| 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 |
|---|---|
| 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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