Dr. Edward M Dussom, MD
Surgery in Brighton, Massachusetts
1053805457- Practice location
- 736 Cambridge St, Brighton, MA 02135-2907
- Phone
- 617-789-3000
- Fax
- —
- Last updated
- July 22, 2025
Edward Michael Dussom is a Surgery based in Brighton, MA. Edward Michael Dussom practices in Brighton, MA and has the professional credentials of MD. The NPI Number for Edward Michael Dussom is 1053805457 and holds a License No. 276408 (MA). The current practice location address for Edward Michael Dussom is 736 Cambridge St, Brighton, MA 02135-2907 and can be reached out via phone at 617-789-3000.
Provider Profile Details
- NPI Number
- 1053805457
- Provider Name
- Edward Michael Dussom
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 736 Cambridge St, Brighton, MA 02135-2907
- Phone Number
- 617-789-3000
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 19, 2018
- Last Update Date
- July 22, 2025
- Certification Date
- July 22, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 736 Cambridge St
Brighton, MA 02135-2907 - City
- Brighton
- State
- Massachusetts
- Zip
- 02135-2907
- Phone Number
- 617-789-3000
Provider Business Mailing Address Details
- Address
- 960 Massachusetts Avenue
Fl 2
Boston, MA 02118-2690 - City
- Boston
- State
- MA
- Zip
- 02118-2690
License Information
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery providers near Brighton, MA
View all Surgery providers in Brighton →Frequently Asked Questions
What is the NPI number of Dr. Edward M Dussom, MD?
The NPI number of Dr. Edward M Dussom, MD is 1053805457. It was assigned on June 19, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Edward M Dussom, MD?
Dr. Edward M Dussom, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in MA under license number 276408.
Where does Dr. Edward M Dussom, MD practice?
The practice location is 736 Cambridge St, Brighton, MA 02135-2907. The office can be reached at 617-789-3000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053805457 directly on the NPPES registry website.