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Contact Information

MARK J DOUGHTIE, ATC
161 COLLEGE AVE
TUFTS UNIVERSITY - SOUSENS GYM
MEDFORD, MA02155
 Phone: 617-627-5145
 Fax: 617-627-2185
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for MARK J DOUGHTIE · (Male)

NPI # 1881705085
Status Active
Credentials ATC
Entity Individual
Enumeration date 08/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 10
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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