Individual provider · Type 1 NPI
Todd Andrew Davidyock, MD
Student in an Organized Health Care Education/Training Program · Boston, MA
Practice location
715 Albany Street, Pulmonary Center (R304)
Boston, MA 02118
Mailing address
129 Warren Ave Apt 2
Boston, MA 02116-5982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1205168663
Todd Andrew Davidyock, MD's National Provider Identifier is 1205168663, issued on Feb 9, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jul 16, 2010.