Individual
DR. DOUGLAS MATTHEW HANSELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, GRB 404, BOSTON, MA 02114-2621
(617) 726-8980
(617) 726-5985
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75527
MA
207R00000X
Internal Medicine Physician
75527
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075527
TUFTS HEALTH PLAN
MA
05
—
3088928
—
MA
01
—
J12137
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
09/11/2025
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