Mcdougal, W Scott
Mcdougal, W Scott is an individual health care provider with primary practice located at 55 Fruit Street Grb1102 Department Of Urology, Boston MA 02114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Mcdougal, W Scott can be contacted via phone (617) 726-4530.Contact Information
Primary practice address
55 Fruit Street Grb1102 Department Of Urology
Boston MA 02114
Phone: (617) 726-4530
Fax: (617) 726-6131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 73400 | Massachusetts |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 73400 | Massachusetts |
Profile Details
| NPI number | 1740270917 |
|---|---|
| LBN Legal business name | Mcdougal, W Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Aug 16th, 2012 - about 14 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 | 1740270917 | NPPES |
| Massachusetts | Other | 073400 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3070794 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J10422 | TUFTS HEALTH PLAN |
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55 Fruit Street Grb 1102 Department Of Urology, Boston MA 02114