person
Gerald W Doherty, PA-C
Medical Physician Assistant in Norwich, Vermont
NPI 1134114770

Gerald W Doherty is a Medical Physician Assistant based in Norwich, VT and is specialized in Medical. Gerald W Doherty practices in Norwich, VT and has the professional credentials of PA-C. The NPI Number for Gerald W Doherty is 1134114770 and holds a License No. 055-0030712 (Vermont).

The current practice location address for Gerald W Doherty is 79 Kerwin Hill Rd, Norwich, VT and can be reached out via phone at 802-649-3225 and via fax at 802-371-4488.

Location: 79 Kerwin Hill Rd, Norwich, VT, 05055-9475
person
Provider Profile Details
NPI Number
1134114770
Provider Name
Gerald W Doherty
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
79 Kerwin Hill Rd, Norwich, VT, 05055-9475
Phone Number
802-649-3225
Fax Number
802-371-4488
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9000203 05 VT
institution
Provider Business Practice Location Address Details
Address
79 Kerwin Hill Rd
City
State
Zip
05055-9475
Phone Number
802-649-3225
Fax Number
802-371-4488
person
Provider Business Mailing Address Details
Address
79 Kerwin Hill Rd
City
State
Zip
05055-9475
Phone Number
802-649-3225
Fax Number
802-371-4488
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
055-0030712 (Vermont)
Definition
Definition to come...
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