David W Dougan, OPTICIAN
Technician/Technologist, Optician in Orange, MA. Individual provider (NPI-1).
NPI number1154571925
StatusActive
Last updated in NPPESSep 29, 2008
Details
- NPI
- 1154571925
- Entity type
- Individual (NPI-1)
- Name
- Mr. David W Dougan
- Credential
- OPTICIAN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2008
- Last updated
- Sep 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | MA4163 | MA | Yes |
Practice location
119 New Athol RdOrange, MA 01364-9603
Phone 978-249-9033 · Fax 978-249-9020
Mailing address
119 New Athol RdOrange, MA 01364-9603
Phone 978-249-9033 · Fax 978-249-9020
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