Provider Demographics
NPI:1700842853
Name:DUGAL, RAYMOND LOUIS (MD)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:LOUIS
Last Name:DUGAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST ANNES HOSPITAL
Mailing Address - Street 2:HUDNER ONCOLOGY CENTER
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-1798
Mailing Address - Country:US
Mailing Address - Phone:508-675-5688
Mailing Address - Fax:
Practice Address - Street 1:ST ANNES HOSPITAL
Practice Address - Street 2:HUDNER ONCOLOGY CENTER
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-1798
Practice Address - Country:US
Practice Address - Phone:508-675-5688
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA591092085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology