Terrence A Doherty, MD
Family Medicine in Old Lyme, Connecticut
1255435558- Practice location
- 19 Halls RD, Old Lyme, CT 06371-1457
- Phone
- 860-434-8300
- Fax
- 860-865-2388
- Last updated
- December 8, 2017
Terrence A Doherty is a Family Medicine based in Old Lyme, CT. Terrence A Doherty practices in Old Lyme, CT and has the professional credentials of MD. The NPI Number for Terrence A Doherty is 1255435558 and holds a License No. 029476 (CT). The current practice location address for Terrence A Doherty is 19 Halls RD, Old Lyme, CT 06371-1457 and can be reached out via phone at 860-434-8300 and via fax at 860-865-2388.
Provider Profile Details
- NPI Number
- 1255435558
- Provider Name
- Terrence A Doherty
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 19 Halls RD, Old Lyme, CT 06371-1457
- Phone Number
- 860-434-8300
- Fax Number
- 860-865-2388
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 8, 2006
- Last Update Date
- December 8, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Halls RD
Old Lyme, CT 06371-1457 - City
- Old Lyme
- State
- Connecticut
- Zip
- 06371-1457
- Phone Number
- 860-434-8300
- Fax Number
- 860-865-2388
Provider Business Mailing Address Details
- Address
- 447 Montauk Avenue
New London, CT 06320 - City
- New London
- State
- CT
- Zip
- 06320
- Phone Number
- 860-447-1426
- Fax Number
- 860-447-0348
License Information
- License Number
- 029476
- License State
- CT
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Terrence A Doherty, MD?
The NPI number of Terrence A Doherty, MD is 1255435558. It was assigned on September 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Terrence A Doherty, MD?
Terrence A Doherty, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 029476.
Where does Terrence A Doherty, MD practice?
The practice location is 19 Halls RD, Old Lyme, CT 06371-1457. The office can be reached at 860-434-8300 (phone) or 860-865-2388 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255435558 directly on the NPPES registry website.