Individual
DR. ROBERT LEWIS DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 E MAIN ST, MIDDLETOWN, NY 10940-4038
(845) 342-5681
(845) 342-0470
Mailing address
210 E MAIN ST, MIDDLETOWN, NY 10940-4038
(845) 342-5681
(845) 342-0470
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
109172 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257841
—
NY
01
—
110043387
RAILROAD MEDICARE
NY
Enumeration date
05/23/2006
Last updated
04/24/2008
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