EDWARD DOUGLAS

BOSTON, MA
NPI1154984862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry
(Licence: MA  2084B0040X)
Enumeration Date2019-04-18
Last Update Date2019-04-18
Business Address
EDWARD DOUGLAS
850 HARRISON AVE
BOSTON, MA 02118-4001
Phone number: 617-414-4722
Mailing Address
EDWARD DOUGLAS
850 HARRISON AVE
BOSTON, MA 02118-4001
Phone number: 617-414-4722