Individual provider · NPI-1

Dr. Douglas Michael Phelan, DO, MPH

Family Medicine · Windham, NH

NPI number1760896849
StatusActive
Last updated in NPPESSep 12, 2023

Details

NPI
1760896849
Entity type
Individual (NPI-1)
Name
Dr. Douglas Michael Phelan
Credential
DO, MPH
Sex
Male
Sole proprietor
No
Enumeration date
Jun 17, 2014
Certification date
Sep 12, 2023
Last updated
Sep 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine19603NHYes

Practice location

49 Range Rd Ste 104
Windham, NH 03087-2029

Phone 603-537-1300 · Fax 603-328-0181

Mailing address

6 Buttrick Rd Ste 102
Londonderry, NH 03053-3417

Phone 603-537-1300

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