Dugan, Mary Ellen
Dugan, Mary Ellen is an individual health care provider with primary practice located at 24 Newton St , Southborough MA 01772-1215. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dugan, Mary Ellen can be contacted via phone (508) 460-3100.Contact Information
Primary practice address
24 Newton St
Southborough MA 01772-1215
Phone: (508) 460-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 57233 | Massachusetts |
Profile Details
| NPI number | 1497773972 |
|---|---|
| LBN Legal business name | Dugan, Mary Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497773972 | NPPES |
| Massachusetts | MEDICAID | 3017109 |
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