Organization · Type 2 NPI

Tiffany Douglas

Clinic/Center · Boston, MA

NPI number 1629448964 Active

Practice location

1 Soldiers Field Park, Apt 501
Boston, MA 02163-1722

Call (864) 423-3561 Map

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XRN2299504 (MA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1629448964

Tiffany Douglas's National Provider Identifier is 1629448964, issued on Sep 29, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Boston, MA. The record was last updated on Sep 29, 2015.