Provider Demographics
NPI:1528098837
Name:ALLEN, DOUGLAS (DO)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:
Last Name:ALLEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 847056
Mailing Address - Street 2:NASHUA ANESTHESIA PARTNERS
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-7056
Mailing Address - Country:US
Mailing Address - Phone:800-720-1664
Mailing Address - Fax:207-753-2020
Practice Address - Street 1:8 PROSPECT ST
Practice Address - Street 2:ANESTHESIA DEPARTMENT
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3925
Practice Address - Country:US
Practice Address - Phone:603-889-2624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12637207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30223658Medicaid
P00371346OtherRAILROAD MEDICARE
NHHX4339Medicare PIN
NH30223658Medicaid
P00371346OtherRAILROAD MEDICARE
I18140Medicare UPIN