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Individual

PETER MICHAEL DOUBILET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PHD

Contact information

Practice address
75 FRANCIS ST, RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6251
(617) 525-7333
Mailing address
75 FRANCIS ST, RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6251
(617) 525-7333

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
48610
MA
2085U0001X
Diagnostic Ultrasound Physician
48610
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0153192
MA
01
048610
TUFTS HEALTH CARE
MA
01
A66286BWHT
HARVARD PILGRIM HEALTH CA
MA
01
E05793
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
09/16/2005
Last updated
08/02/2012
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