Individual
MR. DOUGLAS ROBERT FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MALTESE DR, MIDDLETOWN, NY 10940
(845) 342-4774
(845) 818-7555
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940
(845) 342-4774
(845) 818-7555
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
177652 1
NY
207RP1001X
Pulmonary Disease Physician
Primary
177652 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01144256
—
NY
05
—
1144256
—
NY
Enumeration date
05/26/2006
Last updated
02/27/2015
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