Individual
DOUGLAS ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-2000
Mailing address
24 MERRIMACK ST UNIT 505, LOWELL, MA 01852-1739
(201) 349-4608
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003651
PA
Other
Enumeration date
05/25/2020
Last updated
05/25/2020
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