Provider Demographics
NPI:1760565444
Name:DOUGLAS-STEELE, JAMES PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PHILIP
Last Name:DOUGLAS-STEELE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:362 N BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-1148
Mailing Address - Country:US
Mailing Address - Phone:508-350-2350
Mailing Address - Fax:508-350-2318
Practice Address - Street 1:21 BRISTOL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SOUTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1199
Practice Address - Country:US
Practice Address - Phone:508-565-7600
Practice Address - Fax:508-565-7605
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA47802207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0143774Medicaid
MAS400144662OtherMEDICARE
J03219Medicare ID - Type Unspecified
E35629Medicare UPIN