Provider Demographics
NPI:1265568232
Name:MCNEAL, WILLIAM DAVID JR (PA-C)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:DAVID
Last Name:MCNEAL
Suffix:JR
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:210 WINTHROP RD
Mailing Address - Street 2:APT. 12A
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-4424
Mailing Address - Country:US
Mailing Address - Phone:617-562-7868
Mailing Address - Fax:
Practice Address - Street 1:736 CAMBRIDGE ST
Practice Address - Street 2:CARDIAC SURGERY - INPATIENT
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02135
Practice Address - Country:US
Practice Address - Phone:617-789-2045
Practice Address - Fax:617-779-6760
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2025-03-13
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Provider Licenses
StateLicense IDTaxonomies
MA1262363AM0700X
MAPA1262363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical