Individual
MR. MARK JAMES DOUGHTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
161 COLLEGE AVE, TUFTS UNIVERSITY - SOUSENS GYM, MEDFORD, MA 02155
(617) 627-5145
(617) 627-2185
Mailing address
50 MAPLEWOOD RD, STOUGHTON, MA 02072
(781) 344-1724
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10
MA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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