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Individual
GERALD JOHN DOHERTY
Active
Individual
GERALD JOHN DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
329130
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
329130
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329130
PHYSICIAN LICENSE
NY
Enumeration date
03/24/2021
Last updated
07/02/2026
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