Mcdonald, Douglas R

Mcdonald, Douglas R is an individual health care provider with primary practice located at 300 Longwood Ave Fegan 6, Boston MA 02115-5724. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Mcdonald, Douglas R can be contacted via phone (617) 355-6117.

Contact Information

Primary practice address
300 Longwood Ave Fegan 6 Boston MA 02115-5724
Phone: (617) 355-6117
Fax: (617) 730-0528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 213635 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 213635 Massachusetts

Profile Details

NPI number 1558447482
LBN Legal business name Mcdonald, Douglas R
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Aug 14th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558447482 NPPES
Massachusetts MEDICAID 2093481

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