Provider Demographics
NPI:1629531801
Name:ARCHIBALD, HUNTER DAVIS (MD)
Entity Type:Individual
Prefix:
First Name:HUNTER
Middle Name:DAVIS
Last Name:ARCHIBALD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 CHERRY HILL ST
Mailing Address - Street 2:
Mailing Address - City:WEST NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01985-2024
Mailing Address - Country:US
Mailing Address - Phone:978-270-4942
Mailing Address - Fax:
Practice Address - Street 1:24 CHERRY HILL ST
Practice Address - Street 2:
Practice Address - City:WEST NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01985-2024
Practice Address - Country:US
Practice Address - Phone:978-270-4942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-13
Last Update Date:2019-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program