Provider Demographics
NPI:1841302387
Name:VENESY, DAVID M (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:VENESY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:LAHEY CLINIC CARDIOLOGY -5 E
Mailing Address - Street 2:41 MALL ROAD
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01805-0001
Mailing Address - Country:US
Mailing Address - Phone:781-744-8002
Mailing Address - Fax:781-744-5261
Practice Address - Street 1:LAHEY CLINIC CARDIOLOGY -5 E
Practice Address - Street 2:41 MALL ROAD
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01805
Practice Address - Country:US
Practice Address - Phone:781-744-8002
Practice Address - Fax:781-744-5261
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2018-06-18
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Provider Licenses
StateLicense IDTaxonomies
MA208219207RC0000X, 207UN0901X, 207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110001761AMedicaid
MA110001761AMedicaid
H30438Medicare UPIN