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Individual

DOUGLAS WILLIAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5 ALICE PECK DAY DR, LEBANON, NH 03766-2901
(603) 448-3122
(603) 448-7491
Mailing address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2694
(603) 448-3121
(603) 448-7462

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9573
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00028912
BC BS VT
VT
01
0104124YPNH01
ANTHEM
NH
01
26P017
MVP
NH
05
30009508
NH
01
G27109
HARVARD PILGRIM
NH
Enumeration date
09/26/2005
Last updated
04/08/2013
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