Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
MICHAEL DOCKTOR MD
Gender: MALE
NPI: 1669650685
![]() |
Last Updated: | 2015-12-09 | ||
Certification Date: |
Details
Name | Value | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1669650685 | ||||||||||||
Enumeration Date | 2008-01-31 | ||||||||||||
NPI Type | 1 - Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address |
30 ABBOTT ST
NEEDHAM, MA 02492-1830 United States Phone: | Fax: View Map ![]() |
||||||||||||
Primary Practice Address |
300 LONGWOOD AVE
HUNNEWELL GROUND
BOSTON, MA 02115-5724 United States Phone: 617-355-6058 | Fax: View Map ![]() |
||||||||||||
Health Information Exchange |
|
||||||||||||
Other Identifiers |
|
||||||||||||
Taxonomy |
|