Individual
DR. DYLAN DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
811 FISCHER BLVD, TOMS RIVER, NJ 08753-4605
(732) 929-3440
(732) 929-0900
Mailing address
811 FISCHER BLVD, TOMS RIVER, NJ 08753-4605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03516600
NJ
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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