# DR. AMY DOUGHERTY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184885881
- **Gender:** F
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | 25MD00320000 | NJ | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | SC006066 | PA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00320000 | NJ | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC006066 | PA | — |

## Other

- **Enumeration date:** 06/24/2008
- **Last updated:** 02/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1030852380001 | — | PA |
| 05 | — | 7844107 | — | NJ |