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Individual

EDWARD DOUGLAS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 414-4722
(617) 414-5520
Mailing address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 414-4722
(617) 414-5520

Taxonomy

Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
2084B0040X
MA

Other

Enumeration date
04/18/2019
Last updated
04/18/2019
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