Provider Demographics
NPI:1811988280
Name:MORIN, DAVID PETER (MD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:PETER
Last Name:MORIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10 NEW DRIFTWAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-4530
Mailing Address - Country:US
Mailing Address - Phone:781-545-9225
Mailing Address - Fax:781-545-8560
Practice Address - Street 1:10 NEW DRIFTWAY
Practice Address - Street 2:SUITE 201
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-4530
Practice Address - Country:US
Practice Address - Phone:781-545-9225
Practice Address - Fax:781-545-8560
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2011-07-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA46516208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA201072OtherHPHC
MAO155819Medicaid
456192OtherTUFTS USFHP
705739OtherTUFTS
3552817OtherCIGNA
MAMOJ23021OtherBCBS
MAO155819Medicaid
456192OtherTUFTS USFHP