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Contact Information

DOUGLAS W ENG, EDD
30 REVERE BEACH PKWY APT 302
MEDFORD, MA02155-5162
 Phone: 617-281-8368
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DOUGLAS W ENG · (Male)

NPI # 1801742325
Status Active
Credentials EDD
Entity Individual
Enumeration date 03/06/2026
Last updated 03/06/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 961
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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