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Individual

DOUGLAS J MAYSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3800 RESERVOIR RD NW, GEORGETOWN UNIVERSITY HOSPITAL - PHC7, WASHINGTON, DC 20007-2113
(617) 999-7524
Mailing address
2311 15TH ST NW, APARTMENT 1, WASHINGTON, DC 20009-4017
(617) 999-7524

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
D77942
MD
2084V0102X
Vascular Neurology Physician
0101256398
VA
2084V0102X
Vascular Neurology Physician
260727
NY
2084V0102X
Vascular Neurology Physician
Primary
MD 042329
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03748450
NY
Enumeration date
06/30/2009
Last updated
06/23/2020
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