Individual
DR. DANIEL PATRICK DOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-2621
(617) 726-2913
(617) 726-2167
Mailing address
PO BOX 9142, MASSACHUSETTS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-2913
(617) 726-2167
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
58024
MA
208600000X
Surgery Physician
58024
MA
2086S0120X
Pediatric Surgery Physician
Primary
58024
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3023257
—
MA
01
—
713972
TUFTS HEALTH PLAN
MA
01
—
J06339
BCBS MA
MA
Enumeration date
01/19/2006
Last updated
02/07/2013
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