Provider Demographics
NPI:1447271358
Name:D & G ASSOCIATES,INC.
Entity type:Organization
Organization Name:D & G ASSOCIATES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-999-1502
Mailing Address - Street 1:77 WOLCOTT AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-2459
Mailing Address - Country:US
Mailing Address - Phone:508-999-1502
Mailing Address - Fax:508-992-0016
Practice Address - Street 1:77 WOLCOTT AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-2459
Practice Address - Country:US
Practice Address - Phone:508-999-1502
Practice Address - Fax:508-992-0016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA110296207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM2032701Medicare PIN
MAM20327Medicare PIN