Pleskow, Douglas Keith

Pleskow, Douglas Keith is an individual health care provider with primary practice located at 110 Francis St , Boston MA 02215-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Pleskow, Douglas Keith can be contacted via phone (617) 632-8623.

Contact Information

Primary practice address
110 Francis St Boston MA 02215-5501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 54132 Massachusetts

Profile Details

NPI number 1891777660
LBN Legal business name Pleskow, Douglas Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Sep 6th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891777660 NPPES
Massachusetts MEDICAID 3030679

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