Individual
EUGENE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
404 ZENA RD, WOODSTOCK, NY 12498-2626
(845) 679-5271
(845) 679-0726
Mailing address
404 ZENA RD, WOODSTOCK, NY 12498-2626
(845) 679-5271
(845) 679-0726
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0019071
NY
Other
Enumeration date
09/03/2006
Last updated
07/08/2007
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