Individual
DR. SEAN T DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BROOKLINE PL STE 427, BROOKLINE, MA 02445-7296
(617) 735-8735
(617) 735-8735
Mailing address
360 NEWBURY ST, UNIT 402, BOSTON, MA 02115-2707
(978) 369-4499
(866) 743-7213
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
229269
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003976
—
MA
Enumeration date
08/24/2006
Last updated
03/17/2018
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