Individual
DR. HAROLD O DOUGLASS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
72 ANDOVER LN, WILLIAMSVILLE, NY 14221-3309
(716) 633-2796
Mailing address
72 ANDOVER LN, WILLIAMSVILLE, NY 14221-3309
(716) 633-2796
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
082665
NY
208D00000X
General Practice Physician
082665
NY
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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