IndividualActive
Edward Douglas
NPI 1154984862 · Behavioral Neurology & Neuropsychiatry Physician · Boston, MA
Provider details
- NPI number
- 1154984862
- Entity type
- Individual
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2084B0040X (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
850 Harrison Ave
Boston, MA 02118-4001
Phone: (617) 414-4722
Fax: (617) 414-5520
Approximate (ZIP-level) locationGet directions
Mailing address
850 Harrison Ave
Boston, MA 02118-4001
Registry dates
- Enumerated
- 2019-04-18
- Last updated
- 2019-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.