Individual
ANNE GENEVIEVE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, HOSPITAL OF UNIVERSITY OF PENNSYLVANIA, 3 GATES, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
3400 SPRUCE STREET, 3 GATES, PHILADELPHIA, PA 19104
(215) 662-3606
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
25MA11441700
NJ
2084N0400X
Neurology Physician
Primary
A171805
CA
2084N0400X
Neurology Physician
MD476625
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2017
Last updated
02/06/2025
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