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Tiffany Douglas
Clinic/Center in Boston, Massachusetts
NPI 1629448964

Tiffany Douglas is a Clinic/Center based in Boston, MA. Tiffany Douglas practices in Boston, MA. The NPI Number for Tiffany Douglas is 1629448964 and holds a License No. RN2299504 (Massachusetts).

The current practice location address for Tiffany Douglas is 1 Soldiers Field Park, Boston, MA and can be reached out via phone at 864-423-3561.

Location: 1 Soldiers Field Park, Boston, MA, 02163-1722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629448964
Provider Name
Tiffany Douglas
Credential
Provider Entity Type
Organization
Address
1 Soldiers Field Park, Boston, MA, 02163-1722
Phone Number
864-423-3561
Fax Number
Provider Enumeration Date
09/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Soldiers Field Park
City
Boston
State
Massachusetts
Zip
02163-1722
Phone Number
864-423-3561
Fax Number
person
Provider Business Mailing Address Details
Address
1 Soldiers Field Park
City
Boston
State
Massachusetts
Zip
02163-1722
Phone Number
864-423-3561
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
RN2299504 (Massachusetts)
Definition
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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