Individual
QUINN ROBERTSON MACDOUGALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 GRANITE ST, LYNN, MA 01904-2915
(978) 816-2728
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1016935
MA
Other
Enumeration date
04/13/2021
Last updated
09/30/2024
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