Provider Demographics
NPI:1043503196
Name:BATES, DAVID DAWSON BARTLETT (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:DAWSON BARTLETT
Last Name:BATES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:55 FRUIT ST # 270
Mailing Address - Street 2:ABDOMINAL IMAGING, DEPARTMENT OF RADIOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2621
Mailing Address - Country:US
Mailing Address - Phone:617-643-2009
Mailing Address - Fax:617-726-4891
Practice Address - Street 1:55 FRUIT ST, WHITE 270
Practice Address - Street 2:ABDOMINAL IMAGING, DEPARTMENT OF RADIOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-643-2009
Practice Address - Fax:617-726-4891
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2017-01-30
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Provider Licenses
StateLicense IDTaxonomies
MA2519862085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology