Provider Demographics
NPI:1639140049
Name:GARLAND, DOUGLAS F (PAC)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:F
Last Name:GARLAND
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 ATTUCKS LANE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601
Mailing Address - Country:US
Mailing Address - Phone:508-771-0169
Mailing Address - Fax:508-790-1522
Practice Address - Street 1:700 ATTUCKS LANE
Practice Address - Street 2:SUITE 1A
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-771-0169
Practice Address - Fax:508-790-1522
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA569207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
S24846Medicare UPIN
AP0127Medicare ID - Type Unspecified