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Individual

DOUGLAS LOUIS PRISCO

Active
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Individual

DOUGLAS LOUIS PRISCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A108810
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
236893
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A108810
CA
207RP1001X
Pulmonary Disease Physician
236893
NY
207RP1001X
Pulmonary Disease Physician
Primary
A108810
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A108810
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A1088100
CA
01
1902846306
GROUP NPI
CA
01
GR0100430
GROUP MEDICAL
CA
01
W18762
GROUP MEDICARE
CA
Enumeration date
05/15/2007
Last updated
05/15/2026
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