Individual
DR. DOUGLAS R MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
300 LONGWOOD AVE, FEGAN 6, BOSTON, MA 02115-5724
(617) 355-6117
(617) 730-0528
Mailing address
300 LONGWOOD AVE, FEGAN 6, BOSTON, MA 02115-5724
(617) 355-6117
(617) 730-0528
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
213635
MA
208000000X
Pediatrics Physician
213635
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2093481
—
MA
Enumeration date
10/31/2006
Last updated
08/14/2007
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