Provider Demographics
NPI:1407078116
Name:EULER, DAVID (LICAC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:EULER
Suffix:
Gender:M
Credentials:LICAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1647 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-2229
Mailing Address - Country:US
Mailing Address - Phone:508-333-6787
Mailing Address - Fax:617-630-9738
Practice Address - Street 1:1647 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-2229
Practice Address - Country:US
Practice Address - Phone:508-333-6787
Practice Address - Fax:617-630-9738
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA479171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist