Provider Demographics
NPI:1851493514
Name:KING, DAVID RICAHRD (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RICAHRD
Last Name:KING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:15 PARKMAN ST
Mailing Address - Street 2:WANG 455
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3117
Mailing Address - Country:US
Mailing Address - Phone:617-726-2760
Mailing Address - Fax:617-726-9121
Practice Address - Street 1:15 PARKMAN ST
Practice Address - Street 2:WANG 455
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-726-2760
Practice Address - Fax:617-726-9121
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2014-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME907112086S0102X, 2086S0127X
MA2349722086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care