NPI 1053805457

Edward Michael Dussom, MD

Practitioner Surgery Physician Brighton, MA

Practice location

Address: 736 Cambridge St, Brighton, MA 02135-2907
Phone: (617) 789-3000
Mailing address: 960 Massachusetts Avenue Fl 2, Boston, MA 02118-2690

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 1016197 (MA)

Other Surgery providers in Massachusetts →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 276408 (MA)

Registry record

NPI: 1053805457
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2018
Record last updated: 22 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.