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1154984862
EDWARD DOUGLAS
BOSTON, MA
NPI
1154984862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry
(Licence: MA 2084B0040X)
Enumeration Date
2019-04-18
Last Update Date
2019-04-18
Business Address
EDWARD DOUGLAS
850 HARRISON AVE
BOSTON, MA 02118-4001
Phone number: 617-414-4722
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Mailing Address
EDWARD DOUGLAS
850 HARRISON AVE
BOSTON, MA 02118-4001
Phone number: 617-414-4722
Copy
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