Individual
SEAN T DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
999 DALTON AVE, PITTSFIELD, MA 01201-2903
(413) 242-6577
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
019994-1
NY
363A00000X
Physician Assistant
Primary
PA5886
MA
Other
Enumeration date
09/13/2016
Last updated
11/15/2023
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