Provider Demographics
NPI:1538713730
Name:ALCOLOUMBRE, DAVID (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:ALCOLOUMBRE
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1335 BOYLSTON
Mailing Address - Street 2:APT 804
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:613-483-8331
Mailing Address - Fax:712-606-1961
Practice Address - Street 1:BOSTON CHILDREN'S HOSPITAL
Practice Address - Street 2:DEPT OF ORTHOPEDIC SURGERY AND SPORTS MEDICINE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:857-218-4924
Practice Address - Fax:617-730-0683
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-26
Last Update Date:2020-10-19
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Provider Licenses
StateLicense IDTaxonomies
NY297965207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery