David W Douglas is a Family Medicine in Lynn, Massachusetts. David W Douglas practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for David W Douglas is 1154340420. The last update date is 2007-07-08.
David W Douglas's current location address is 330 Lynnway, Lynn, Massachusetts. You can contact this provider via phone number 7815936005 and fax number 7815931370. The mailing address for David W Douglas is 330 Lynnway, Lynn, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David W Douglas |
|---|---|
| Address | 330 Lynnway, Lynn, Massachusetts |
| Phone Number | 7815936005 |
| Fax Number | 7815931370 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154340420 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 330 Lynnway |
|---|---|
| City | Lynn |
| State | Massachusetts (MA) |
| Post Code | 19011706 |
| Phone Number | 7815936005 |
| Fax Number | 7815931370 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 150082 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150082 | MA | TUFTS HEALTH PLAN | |
| 710790 | MA | HARVARD PILGRIM | |
| 3166341 | MA | -- | |
| B10347002 | MA | CIGNA | |
| 186207 | MA | HEALTHSOURCE | |
| 101449 | MA | UNITED HEALTHCARE | |
| J18455 | MA | BC/BS | |
| 2242081 | MA | AETNA US HEALTHCARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to David W Douglas?
The David W Douglas has been issued the NPI (National Provider Identifier) 1154340420 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where David W Douglas is geographically located?
The David W Douglas is physically situated at the following location: 330 Lynnway, Lynn, MA, 19011706.
What is David W Douglas's area of expertise and its corresponding taxonomy classification?
The David W Douglas's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1154340420 to David W Douglas?
The David W Douglas received its 1154340420 assignment from the Centers for Medicare & Medicaid Services on 2006-07-18.
As of what date was the information regarding David W Douglas, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David W Douglas, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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