Provider Type Icon

DAVID MARC BLAUSTEIN MD NPI 1104811900


NPI Information

NPI: 1104811900
Provider Name: DAVID MARC BLAUSTEIN, MD
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Individual
Address:
1400 VFW PARKWAY
VA BOSTON HEALTHCARE SYSTEM
WEST ROXBURY, MA
ZIP 02132
Phone: (857) 203-6931
Get Directions

David Marc Blaustein, MD is a neuromusculoskeletal medicine sports medicine in West Roxbury, MA. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ David Marc Blaustein, MD NPI is 1104811900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 VFW PARKWAY
VA BOSTON HEALTHCARE SYSTEM
WEST ROXBURY, MA
ZIP 02132
Phone: (857) 203-6931
Fax: (857) 203-5680

The enumeration date for this NPI number is 9/18/2005 and was last updated on 4/26/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204C00000XNeuromusculoskeletal Medicine, Sports Medicine78218MASSACHUSETTSYes
2208100000XPhysical Medicine & Rehabilitation78218MASSACHUSETTSNo
32081N0008XPhysical Medicine & RehabilitationNeuromuscular Medicine78218MASSACHUSETTSNo
42081P2900XPhysical Medicine & RehabilitationPain Medicine78218MASSACHUSETTSNo
52081S0010XPhysical Medicine & RehabilitationSports Medicine78218MASSACHUSETTSNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.