Individual
JANICE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6286
Mailing address
196 SWAMP JOHN RD, WELLS, ME 04090-6834
(207) 646-0898
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14083
MA
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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