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CONGENIAL HEALTHCARE LLC NPI 1558872895


NPI Information

NPI: 1558872895
Provider Name: CONGENIAL HEALTHCARE, LLC

Doing Business As: DAVID W DOUGLAS, MD

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 22D2138776

Address:
330 LYNNWAY STE 190A
LYNN, MA
ZIP 01901
Phone: (781) 593-6005
Get Directions

CONGENIAL HEALTHCARE, LLC is a family medicine in Lynn, MA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CONGENIAL HEALTHCARE, LLC NPI is 1558872895. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As David W Douglas, Md.

The provider's business location address is:

330 LYNNWAY STE 190A
LYNN, MA
ZIP 01901-706
Phone: (781) 593-6005

The provider's authorized official is David W Douglas .
The authorized official title is Physician and has the following contact phone number (781) 593-6005.

The CLIA number assigned to this NPI record is 22D2138776 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2017 and was last updated on 10/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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