Provider Demographics
NPI:1083816102
Name:BOND, DAVID (PA)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:BOND
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:114 WHITWELL ST
Mailing Address - Street 2:QUINCY MEDICAL CENTER
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-1870
Mailing Address - Country:US
Mailing Address - Phone:617-376-5549
Mailing Address - Fax:617-376-5553
Practice Address - Street 1:114 WHITWELL STREET
Practice Address - Street 2:QUINCY MEDICAL CENTER
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-1870
Practice Address - Country:US
Practice Address - Phone:617-376-5549
Practice Address - Fax:617-376-5553
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2008-05-15
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Provider Licenses
StateLicense IDTaxonomies
MA465363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAP031001Medicare PIN
MAP00428477Medicare PIN