Dr. Douglas W Eng, EDD
Psychologist, Exercise & Sports in Medford, Massachusetts
1801742325- Practice location
- 30 Revere Beach Pkwy Apt 302, Medford, MA 02155-5162
- Phone
- 617-281-8368
- Fax
- —
- Last updated
- March 6, 2026
Douglas Walter Eng is a Psychologist, Exercise & Sports based in Medford, MA. Douglas Walter Eng practices in Medford, MA and has the professional credentials of EDD. The NPI Number for Douglas Walter Eng is 1801742325 and holds a License No. 961 (MA). The current practice location address for Douglas Walter Eng is 30 Revere Beach Pkwy Apt 302, Medford, MA 02155-5162 and can be reached out via phone at 617-281-8368.
Provider Profile Details
- NPI Number
- 1801742325
- Provider Name
- Douglas Walter Eng
- Credential
- EDD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 30 Revere Beach Pkwy Apt 302, Medford, MA 02155-5162
- Phone Number
- 617-281-8368
- Primary Taxonomy
- Psychologist, Exercise & Sports · 103TE1100X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 6, 2026
- Last Update Date
- March 6, 2026
- Certification Date
- March 6, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Revere Beach Pkwy Apt 302
Medford, MA 02155-5162 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-5162
- Phone Number
- 617-281-8368
Provider Business Mailing Address Details
- Address
- 30 Revere Beach Pkwy Apt 302
Medford, MA 02155-5162 - City
- Medford
- State
- MA
- Zip
- 02155-5162
- Phone Number
- 617-281-8368
License Information
- License Number
- 961
- License State
- MA
- Taxonomy
- Psychologist, Exercise & Sports · 103TE1100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Douglas W Eng, EDD?
The NPI number of Dr. Douglas W Eng, EDD is 1801742325. It was assigned on March 6, 2026 and is currently active in the NPPES registry.
What is the specialty of Dr. Douglas W Eng, EDD?
Dr. Douglas W Eng, EDD is registered under the primary taxonomy Psychologist, Exercise & Sports (code 103TE1100X), licensed in MA under license number 961.
Where does Dr. Douglas W Eng, EDD practice?
The practice location is 30 Revere Beach Pkwy Apt 302, Medford, MA 02155-5162. The office can be reached at 617-281-8368 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801742325 directly on the NPPES registry website.