Individual
SHAUN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
78 HAMPSHIRE HILL RD, UPPER SADDLE RIVER, NJ 07458-1106
(917) 574-0002
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
26NR20882400
NJ
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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