person
Michael R Dougherty, DO
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1538443908

Michael R Dougherty is a Student in an Organized Health Care Education/Training Program based in Philadelphia, PA. Michael R Dougherty practices in Philadelphia, PA and has the professional credentials of DO. The NPI Number for Michael R Dougherty is 1538443908 and holds a License No. (Pennsylvania).

The current practice location address for Michael R Dougherty is 111 S 11Th St Ste 8290, Philadelphia, PA and can be reached out via phone at 215-955-2370 and via fax at 215-955-0677.

Location: 111 S 11Th St Ste 8290, Philadelphia, PA, 19107-4824
person
Provider Profile Details
NPI Number
1538443908
Provider Name
Michael R Dougherty
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
111 S 11Th St Ste 8290, Philadelphia, PA, 19107-4824
Phone Number
215-955-2370
Fax Number
215-955-0677
Provider Enumeration Date
10/04/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 S 11Th St Ste 8290
City
State
Zip
19107-4824
Phone Number
215-955-2370
Fax Number
215-955-0677
person
Provider Business Mailing Address Details
Address
111 S 11Th St Ste 8290
City
State
Zip
19107-4824
Phone Number
215-955-2370
Fax Number
215-955-0677
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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