Individual
DR. DOUGLAS G. MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 JONES RD # A, FALMOUTH, MA 02540-4900
(508) 540-0900
(508) 548-6358
Mailing address
200 A JONES RD., FALMOUTH, MA 02540
(508) 540-0900
(508) 548-6358
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
219845
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2034140
—
MA
01
—
3485221
AETNA
MA
01
—
468745
TUFTS
MA
01
—
AA9901
HARVRD PILGRIM HEALTH CAR
MA
01
—
J27152
BCBS PROVIDER #
MA
Enumeration date
07/20/2006
Last updated
03/18/2015
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