Individual
DANIELLE ELIZABETH DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 KINGS HIGHWAY CUTOFF, FAIRFIELD, CT 06824-5340
(877) 925-3637
(203) 333-3937
Mailing address
4550 PRESTWICK DR, READING, PA 19606-8909
(484) 336-3217
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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