Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 58024 | MA |
N | 208600000X | Surgeon | 58024 | MA |
Y | 2086S0120X | Pediatric Surgery | 58024 | MA |
NPI | 1023098621 |
---|---|
Provider Name | Dr. Daniel Patrick Doody |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 07/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3023257 | (05) | MA |
713972 | TUFTS HEALTH PLAN (01) | MA |
B98025 | (02) | MA |
J06339 | BCBS MA (01) | MA |