MEDICARE: DR. DOUGLAS H PRINCE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD050702	PA
2	207Q00000X	Family Medicine Physician	D0054469	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5276041	OTHER	PA	AETNA
2	01069802	OTHER	PA	CAPITAL BLUE CROSS-WMG
3	164335	OTHER	PA	HIGHMARK BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0723629000	OTHER	PA	AMERIHEALTH 65 PA
6	233295	OTHER	PA	MAMSI-WMG
7	30052	OTHER	PA	JOHNS HOPKINS
8	533542	OTHER	MD	CAREFIRST MD BCBS
9	80968	OTHER	PA	UNISON-WMG
10	1142416	OTHER	PA	AMERIHEALTH MERCY-WMG
11	36127	OTHER	PA	GEISINGER
12	P002831	OTHER	PA	GATEWAY-WMG

General Provider Information

NPI Number	:	1710905542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS H PRINCE MD

Provider Business Mailing Address
First Line	:	3421 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-9001
Country	:	US
Telephone Number	:	717-812-2501
Fax Number	:	717-461-7178

Provider Business Practice Location Address
First Line	:	13515 WOLFE RD
Second Line	:	SUITE C
City	:	NEW FREEDOM
State	:	PA
Zip	:	17349-9346
Country	:	US
Telephone Number	:	717-812-2501
Fax Number	:	717-461-7178

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	11/17/2021

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Directions to “ DR. DOUGLAS H PRINCE MD” Practice Location

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