Provider Demographics
NPI:1477659084
Name:DUGGAN, PAUL J (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:DUGGAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:541 MAIN ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:S WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1868
Mailing Address - Country:US
Mailing Address - Phone:781-952-1280
Mailing Address - Fax:781-952-1570
Practice Address - Street 1:541 MAIN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:S WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1868
Practice Address - Country:US
Practice Address - Phone:781-952-1280
Practice Address - Fax:781-952-1570
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2014-03-13
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Provider Licenses
StateLicense IDTaxonomies
MA28582207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA65768Medicare UPIN
MAM06040Medicare PIN