Doctor Name: | DR. ROBERT LEWIS DOUGLAS |
NPI Number: | 1003861501 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 109172 1 |
Business Practice Address: | 210 E Main St Middletown, NY - 109404038 |
Business Phone Number: | 8453425681 |
Business Fax Number: | 8453420470 |
Mailing Address: | 210 E Main St, MIDDLETOWN |
State: | NY |
Postal Code: | 109404038 |
Phone Number: | 8453425681 |
Fax Number: | 8453420470 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 04/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 109172 1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |