Dr. Amy Douglass, M.D., MPH
Emergency Medicine in New London, CT. Individual provider (NPI-1).
NPI number1356782601
StatusActive
Last updated in NPPESDec 1, 2020
Details
- NPI
- 1356782601
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amy Douglass
- Credential
- M.D., MPH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2013
- Certification date
- Dec 1, 2020
- Last updated
- Dec 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 63602 | CT | Yes |
Practice location
365 Montauk AveNew London, CT 06320-4769
Phone 860-442-0711
Mailing address
365 Montauk AveNew London, CT 06320-4769
Phone 860-442-0711
Other practice locations
1000 W Carson St
Torrance, CA 90502-2004
Torrance, CA 90502-2004
Phone 310-222-3501 · Fax 310-782-1763
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