Provider Demographics
NPI:1497773493
Name:BINDER, DAVID (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:BINDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:24 IRELAND RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON CENTRE
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1268
Mailing Address - Country:US
Mailing Address - Phone:617-244-8389
Mailing Address - Fax:781-438-5553
Practice Address - Street 1:271 MAIN ST
Practice Address - Street 2:SUITE 205
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-3591
Practice Address - Country:US
Practice Address - Phone:781-438-5550
Practice Address - Fax:781-438-5553
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA408772084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6189385Medicaid