Active NPIIndividual provider

Dr. David A Bross, MD

Pediatrics in Medford, Massachusetts

NPI Number1881687804
Practice location
Mystic Valley Pediatrics, 75 Riverside Avenue, Suite 2, Medford, MA 02155
Fax
781-395-8798
Last updated
July 6, 2010

David Andrew Bross is a Pediatrics based in Medford, MA. David Andrew Bross practices in Medford, MA and has the professional credentials of MD. The NPI Number for David Andrew Bross is 1881687804 and holds a License No. 73788 (MA). The current practice location address for David Andrew Bross is Mystic Valley Pediatrics, 75 Riverside Avenue, Suite 2, Medford, MA 02155 and can be reached out via phone at 781-391-8821 and via fax at 781-395-8798.

Provider Profile Details

NPI Number
1881687804
Provider Name
David Andrew Bross
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Mystic Valley Pediatrics, 75 Riverside Avenue, Suite 2, Medford, MA 02155
Phone Number
781-391-8821
Fax Number
781-395-8798
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
August 24, 2005
Last Update Date
July 6, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
Mystic Valley Pediatrics
75 Riverside Avenue, Suite 2
Medford, MA 02155
Zip
02155
Phone Number
781-391-8821
Fax Number
781-395-8798
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
71 Appleton St
Apt #3
Boston, MA 02116-6109
City
Boston
State
MA
Zip
02116-6109
Phone Number
617-266-5185
Fax Number
781-395-8798

License Information

License Number
73788
License State
MA
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. David A Bross, MD?

The NPI number of Dr. David A Bross, MD is 1881687804. It was assigned on August 24, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. David A Bross, MD?

Dr. David A Bross, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 73788.

Where does Dr. David A Bross, MD practice?

The practice location is Mystic Valley Pediatrics, 75 Riverside Avenue, Suite 2, Medford, MA 02155. The office can be reached at 781-391-8821 (phone) or 781-395-8798 (fax).

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 1881687804 directly on the NPPES registry website.

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