Dr. Robert Lewis Douglas
Internist - Cardiovascular Disease
210 E Main St
Middletown
, New York 10940-4038
Dr. Robert Lewis Douglas
Internist - Cardiovascular Disease
210 E Main St
Middletown
, New York 10940-4038
(845) 342-0470
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Robert Lewis Douglas
- 210 E Main St
- Middletown, NY
- Zip : 10940-4038
- Fax : (845) 342-0470
- Phone : (845) 342-5681
Second Address
- Dr. Robert Lewis Douglas
- 210 E Main St
- Middletown, NY
- Zip : 10940-4038
- Fax : (845) 342-0470
- Phone : (845) 342-5681
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 109172 1 | NY |
National Provider Identifier
| NPI | 1003861501 |
|---|---|
| Provider Name | Dr. Robert Lewis Douglas |
| First Address | Middletown, NY 10940-4038 |
| Second Address | Middletown, NY 10940-4038 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2006 |
| Last Update Date | 24/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0257841 | (05) | NY |
| 110043387 | RAILROAD MEDICARE (01) | NY |
| B95550 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.