Provider Demographics
NPI:1760420079
Name:AUGUST, DAVID (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:AUGUST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:25 BOYLSTON ST STE 302
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-1710
Mailing Address - Country:US
Mailing Address - Phone:617-916-0895
Mailing Address - Fax:617-916-0937
Practice Address - Street 1:25 BOYLSTON ST
Practice Address - Street 2:SUITE 315
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-1715
Practice Address - Country:US
Practice Address - Phone:617-916-0895
Practice Address - Fax:617-916-0937
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2024-02-28
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Provider Licenses
StateLicense IDTaxonomies
MA55026207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine