Individual
SEAN DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
725 ALBANY STREET, SHAPIRO 3, SUITE A, BOSTON, MA 02118
(617) 414-4861
(617) 414-3617
Mailing address
801 ALBANY STREET, FL GROUND, BOSTON, MA 02119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA7121
MA
Other
Enumeration date
07/15/2019
Last updated
10/15/2021
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