Individual
DR. DOUGLAS D MACQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 BRENTWOOD DR, ITHACA, NY 14850-1863
(607) 241-1118
(607) 257-2923
Mailing address
16 BRENTWOOD DR, ITHACA, NY 14850-1863
(607) 241-1118
(607) 257-2923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
018144
ME
207R00000X
Internal Medicine Physician
EC-06-1069
ME
207RI0200X
Infectious Disease Physician
Primary
265017
NY
208M00000X
Hospitalist Physician
018144
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30208728
—
NH
05
—
434249299
—
ME
Enumeration date
11/11/2006
Last updated
07/06/2012
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