Dooling, Elizabeth Clark
Dooling, Elizabeth Clark is an sole proprietor health care provider with primary practice located at 55 Fruit St Wang Acc 720, Boston MA 02114-2621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Dooling, Elizabeth Clark can be contacted via phone (617) 726-3877.Contact Information
Primary practice address
55 Fruit St Wang Acc 720
Boston MA 02114-2621
Phone: (617) 726-3877
Fax: (617) 724-7860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 29710 | Massachusetts |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 29710 | Massachusetts |
Profile Details
| NPI number | 1689647026 |
|---|---|
| LBN Legal business name | Dooling, Elizabeth Clark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Aug 27th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689647026 | NPPES |
| Massachusetts | MEDICAID | 110002667/B | |
| Massachusetts | Other | M08166 | |
| Massachusetts | Other | 11034MGH | |
| Massachusetts | Other | 700930 |
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