person
Dr. Amy Dougherty, DPM
Foot & Ankle Surgery Podiatrist in Philadelphia, Pennsylvania
NPI 1184885881

Amy Dougherty is a Foot & Ankle Surgery Podiatrist based in Philadelphia, PA and is specialized in Foot & Ankle Surgery. Amy Dougherty practices in Philadelphia, PA and has the professional credentials of DPM. The NPI Number for Amy Dougherty is 1184885881 and holds a License No. 25MD00320000 (Pennsylvania).

The current practice location address for Amy Dougherty is 8001 Roosevelt Blvd, Philadelphia, PA and can be reached out via phone at 215-332-5300 and via fax at 215-332-5228.

Location: 8001 Roosevelt Blvd, Philadelphia, PA, 19152-3038
person
Provider Profile Details
NPI Number
1184885881
Provider Name
Amy Dougherty
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
8001 Roosevelt Blvd, Philadelphia, PA, 19152-3038
Phone Number
215-332-5300
Fax Number
215-332-5228
Provider Enumeration Date
06/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7844107 05 NJ
1030852380001 05 PA
institution
Provider Business Practice Location Address Details
Address
8001 Roosevelt Blvd
City
State
Zip
19152-3038
Phone Number
215-332-5300
Fax Number
215-332-5228
person
Provider Business Mailing Address Details
Address
8001 Roosevelt Blvd
City
State
Zip
19152-3038
Phone Number
215-332-5300
Fax Number
215-332-5228
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
SC006066 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
25MD00320000 (New Jersey)
Definition
Definition to come...
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