Individual
DR. ROBERT DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-7059
(302) 733-1000
Mailing address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C2-0013804
DE
208M00000X
Hospitalist Physician
C2-0013804
DE
Other
Enumeration date
05/22/2017
Last updated
07/29/2020
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