Individual
VIVIAN PARASKEVI DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, DVM, MBA, MSC
Contact information
Practice address
300 BROOKLINE AVE, BOSTON, MA 02215-5403
(617) 667-3210
Mailing address
300 BROOKLINE AVE, BOSTON, MA 02215-5403
(617) 667-3210
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
-
MA
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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