| David W. Douglas, Md | |
|
330 Lynnway Ste 109a Lynn MA 01901-1713 | |
| (781) 593-6005 | |
| (781) 593-6005 |
| Full Name | David W. Douglas, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 330 Lynnway Ste 109a, Lynn, Massachusetts |
| Authorized Official Name and Position | Janette Douglas (PRACTICE MANAGER) |
| Authorized Official Contact | 7815936005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David W. Douglas, Md 330 Lynnway Ste 109a Lynn MA 01901-1713 Ph: (781) 593-6005 | David W. Douglas, Md 330 Lynnway Ste 109a Lynn MA 01901-1713 Ph: (781) 593-6005 |
| NPI Number | 1851813034 |
|---|---|
| Provider Enumeration Date | 07/10/2017 |
| Last Update Date | 07/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851813034 | NPI | - | NPPES |
| 110058501A | Medicaid | MA | |
| 1154340420 | Other | MA | NPI - INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 150082 (Massachusetts) | Primary |
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