Individual
DOUGLAS W COMEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
850 HARRISON AVE, YACC 5, BOSTON, MA 02118-4001
(617) 414-2080
(617) 414-2090
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
231599
MA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
231599
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110075755A
—
MA
Enumeration date
02/13/2007
Last updated
12/08/2016
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