Individual
DR. DOUGLAS L TEICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVENUE, BOSTON, MA 02215-5400
(617) 754-2009
(617) 754-2004
Mailing address
330 BROOKLINE AVENUE, BOSTON, MA 02215-5400
(617) 754-2009
(617) 754-2004
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
55316
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3010287
—
MA
Enumeration date
11/02/2005
Last updated
09/13/2011
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