Individual
DOUGLAS W LOSORDO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, DEPT OF CARDIOLOGY CCP4C, BRIGHTON, MA 02135-2907
(617) 789-3149
(617) 789-5029
Mailing address
736 CAMBRIDGE ST, DEPT OF CARDIOLOGY CCP4C, BRIGHTON, MA 02135-2907
(617) 789-3149
(617) 789-5029
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
53385
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047041
—
MA
Enumeration date
09/13/2005
Last updated
07/08/2007
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