Provider Demographics
NPI:1194703132
Name:HUTCHISON, DAVID S (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:HUTCHISON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:50 STANIFORD STREET
Mailing Address - Street 2:SUITE 600 OPHTHALMIC CONSULTANTS OF BOSTON
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2517
Mailing Address - Country:US
Mailing Address - Phone:617-367-4800
Mailing Address - Fax:617-589-3905
Practice Address - Street 1:77 HERRICK STREET
Practice Address - Street 2:SUITE 102 OPHTHALMIC CONSULTANTS OF BOSTON
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915
Practice Address - Country:US
Practice Address - Phone:978-922-7303
Practice Address - Fax:978-927-4969
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA35239207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2015641Medicaid
A54170Medicare UPIN
MAD17039Medicare ID - Type Unspecified