Individual
JULIA MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 W BROADWAY, BOSTON, MA 02127-2245
(617) 269-7500
Mailing address
409 W BROADWAY, BOSTON, MA 02127-2245
(617) 269-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3014326
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
03/19/2026
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