IndividualActive
Michael Docktor, MD
NPI 1669650685 · Pediatric Gastroenterology Physician · Boston, MA
Provider details
- NPI number
- 1669650685
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 235349 (MA)
Practice location
300 Longwood Ave
Hunnewell Ground
Boston, MA 02115-5724
Phone: (617) 355-6058
Mailing address
30 Abbott St
Needham, MA 02492-1830
Registry dates
- Enumerated
- 2008-01-31
- Last updated
- 2015-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.