Individual
MICHAEL DOCKTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, HUNNEWELL GROUND, BOSTON, MA 02115-5724
(617) 355-6058
Mailing address
30 ABBOTT ST, NEEDHAM, MA 02492-1830
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
235349
MA
2080P0206X
Pediatric Gastroenterology Physician
Primary
235349
MA
Other
Enumeration date
01/31/2008
Last updated
12/09/2015
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