Individual
DR. DOUGLASS BIBULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
(508) 559-5073
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
(508) 559-5073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
151680
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3158110
—
MA
Enumeration date
03/01/2007
Last updated
05/25/2016
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