Active NPIIndividual providerSole proprietor

Meaghan C Doherty, MD

Pediatrics, Pediatric Cardiology in Worcester, Massachusetts

NPI Number1417277237
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
774-441-8054
Last updated
November 21, 2020

Meaghan C. Doherty is a Pediatrics, Pediatric Cardiology based in Worcester, MA. Meaghan C. Doherty practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Meaghan C. Doherty is 1417277237 and holds a License No. LP01977 (RI). The current practice location address for Meaghan C. Doherty is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 774-441-7765 and via fax at 774-441-8054.

Provider Profile Details

NPI Number
1417277237
Provider Name
Meaghan C. Doherty
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
774-441-7765
Fax Number
774-441-8054
Primary Taxonomy
Pediatrics, Pediatric Cardiology · 2080P0202X
Sole Proprietor
Yes
Provider Enumeration Date
June 3, 2010
Last Update Date
November 21, 2020
Certification Date
November 21, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
774-441-7765
Fax Number
774-441-8054
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348
Phone Number
800-225-8885
Fax Number
508-334-1977

License Information

License Number (1)
LP01977
License State (1)
RI
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
268174
License State (2)
MA
Taxonomy (2)
Pediatrics, Pediatric Cardiology · 2080P0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Meaghan C Doherty, MD?

The NPI number of Meaghan C Doherty, MD is 1417277237. It was assigned on June 3, 2010 and is currently active in the NPPES registry.

What is the specialty of Meaghan C Doherty, MD?

Meaghan C Doherty, MD is registered under the primary taxonomy Pediatrics, Pediatric Cardiology (code 2080P0202X), licensed in RI under license number LP01977.

Where does Meaghan C Doherty, MD practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 774-441-7765 (phone) or 774-441-8054 (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 1417277237 directly on the NPPES registry website.

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