Individual
DOUGLAS DORITY MACLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
53 COURT ST, PLYMOUTH, MA 02360-3822
(508) 746-8880
(508) 746-5752
Mailing address
53 COURT ST, PLYMOUTH, MA 02360-3822
(508) 746-8880
(508) 746-5752
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2044
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280120001
PTAN
MA
05
—
110028513A
—
MA
Enumeration date
03/02/2007
Last updated
08/05/2015
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