Provider Demographics
NPI:1578541959
Name:DUGGAN, MARGARET MARY (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:DUGGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1153 CENTRE ST
Mailing Address - Street 2:FAULKNER BREAST CENTRE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130-3446
Mailing Address - Country:US
Mailing Address - Phone:617-983-7777
Mailing Address - Fax:617-983-7779
Practice Address - Street 1:1153 CENTRE ST
Practice Address - Street 2:FAULKNER BREAST CENTRE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-3446
Practice Address - Country:US
Practice Address - Phone:617-983-7777
Practice Address - Fax:617-983-7779
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA759842086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3094499Medicaid
MAA23105Medicare ID - Type Unspecified
MA3094499Medicaid