Individual
DR. DOUGLAS ELLIS WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT ST, GRB 740 BIGELOW TEACHING SERVICE- INPATIENT, BOSTON, MA 02114-2621
(617) 726-2862
(617) 724-7441
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225472
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107490
—
MA
01
—
462226
TUFTS HEALTH PLAN
MA
01
—
J29017
BCBS MA
MA
Enumeration date
10/24/2005
Last updated
11/18/2014
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