Individual
DR. DOUGLAS MIDDLETON DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
78119
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3141063
—
MA
01
—
779428
TUFTS HEALTH PLAN
MA
01
—
J31467
BCBS MA
MA
Enumeration date
11/04/2005
Last updated
01/31/2014
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