Organization
CONGENIAL HEALTHCARE, LLC
Active
Parent organization
CONGENIAL HEALTHCARE, LLC
Other names
David W Douglas, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONGENIAL HEALTHCARE, LLC
Authorized official
DR. DAVID W DOUGLAS MD (PHYSICIAN)
(781) 593-6005
Entity
Organization
Contact information
Practice address
330 LYNNWAY STE 190A, LYNN, MA 01901-1706
(781) 593-6005
Mailing address
330 LYNNWAY STE 190A, LYNN, MA 01901-1706
(781) 593-6005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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