Provider Demographics
NPI:1205889953
Name:SERLIN, DAVID M (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:SERLIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:30 LOCUST ST
Mailing Address - Street 2:CD PRACTICE ASSOCIATES
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2052
Mailing Address - Country:US
Mailing Address - Phone:413-582-2563
Mailing Address - Fax:413-582-2566
Practice Address - Street 1:30 LOCUST ST
Practice Address - Street 2:CD PRACTICE ASSOCIATES
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2052
Practice Address - Country:US
Practice Address - Phone:413-582-2563
Practice Address - Fax:413-582-2566
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA204940207RP1001X, 207RC0200X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0155471Medicaid
MA4333207OtherCIGNA
MA204940OtherTUFTS HEALTH PLAN
MA204904OtherCONNECTICARE
MA000000033187OtherBMC HEALTHNET
MA38292OtherHNE
MA95094002OtherNETWORK HEALTH PLAN
MAJ24173OtherBCBS OF MASS
MAJ24173OtherBC BS OF MASS
MA4333207OtherCIGNA
MA95094002OtherNETWORK HEALTH PLAN