Individual
UNA T O'DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-3000
(215) 829-7564
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-3000
(215) 829-7564
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
MD066161L
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
98453
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD066161L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018414690001
—
PA
Enumeration date
06/20/2006
Last updated
01/22/2024
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