Mr. Mark J Doughtie, ATC
Specialist/Technologist, Athletic Trainer in Medford, Massachusetts
1881705085- Practice location
- 161 College Ave, Tufts University - Sousens Gym, Medford, MA 02155
- Phone
- 617-627-5145
- Fax
- 617-627-2185
- Last updated
- July 8, 2007
Mark James Doughtie is a Specialist/Technologist, Athletic Trainer based in Medford, MA. Mark James Doughtie practices in Medford, MA and has the professional credentials of ATC. The NPI Number for Mark James Doughtie is 1881705085 and holds a License No. 10 (MA). The current practice location address for Mark James Doughtie is 161 College Ave, Tufts University - Sousens Gym, Medford, MA 02155 and can be reached out via phone at 617-627-5145 and via fax at 617-627-2185.
Provider Profile Details
- NPI Number
- 1881705085
- Provider Name
- Mark James Doughtie
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 161 College Ave, Tufts University - Sousens Gym, Medford, MA 02155
- Phone Number
- 617-627-5145
- Fax Number
- 617-627-2185
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 31, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 161 College Ave
Tufts University - Sousens Gym
Medford, MA 02155 - City
- Medford
- State
- Massachusetts
- Zip
- 02155
- Phone Number
- 617-627-5145
- Fax Number
- 617-627-2185
Provider Business Mailing Address Details
- Address
- 50 Maplewood RD
Stoughton, MA 02072 - City
- Stoughton
- State
- MA
- Zip
- 02072
- Phone Number
- 781-344-1724
License Information
- License Number
- 10
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · 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 Mr. Mark J Doughtie, ATC?
The NPI number of Mr. Mark J Doughtie, ATC is 1881705085. It was assigned on August 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Mark J Doughtie, ATC?
Mr. Mark J Doughtie, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 10.
Where does Mr. Mark J Doughtie, ATC practice?
The practice location is 161 College Ave, Tufts University - Sousens Gym, Medford, MA 02155. The office can be reached at 617-627-5145 (phone) or 617-627-2185 (fax).
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 1881705085 directly on the NPPES registry website.