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1720069990
DAVID WALTER CASAVANT
BOSTON, MA
NPI
1720069990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MA 155793)
Enumeration Date
2005-11-07
Last Update Date
2007-07-08
Business Address
Dr. DAVID WALTER CASAVANT MD
55 FRUIT ST ELL 317
BOSTON, MA 02114-2621
Phone number: 617-724-4380
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Mailing Address
Dr. DAVID WALTER CASAVANT MD
PO BOX 9142
CHARLESTOWN, MA 02129-9142
Phone number: 617-724-0287
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