Individual
MR. GERARD FRANCIS DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
115 CASS AVE, WOONSOCKET, RI 02895-4705
(401) 769-4100
Mailing address
PO BOX 7321, LACONIA, NH 03247-7321
(603) 293-0969
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00402
RI
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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