Individual
REGINA MARIE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1648 HUNTINGDON PIKE, MEADOWBROOK, PA 19046-8001
(215) 947-3000
(215) 938-3929
Mailing address
1648 HUNTINGDON PIKE, MEDICAL STAFF OFFICE 1ST FLR, MEADOWBROOK, PA 19046-8001
(215) 938-3450
(215) 938-3829
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
05010438L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001967175003
—
PA
Enumeration date
12/06/2005
Last updated
01/27/2020
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