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Individual

DR. ANDREW MAURICE DOOLITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 TRADECENTER, SUITE 750, WOBURN, MA 01801-1852
(781) 937-3001
(781) 937-3070
Mailing address
100 TRADECENTER, SUITE 750, WOBURN, MA 01801-1852
(781) 937-3001
(781) 937-3070

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2007-00057
NC
207Y00000X
Otolaryngology Physician
Primary
250315
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002588001
MEDICARE
MA
01
151XN
BCBS
NC
05
5910113
NC
01
FH2967665
FIRST CAROLINA CARE
NC
05
N0005D
SC
Enumeration date
03/08/2006
Last updated
02/23/2015
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