Individual
JOHN E DOUGHERTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
409 S 2ND ST, SUITE 3F, HARRISBURG, PA 17104-1612
(717) 230-3459
(717) 230-3411
Mailing address
2501 N 3RD ST, 2ND FLOOR, HARRISBURG, PA 17110-1904
(717) 782-2100
(717) 782-2121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS002851L
PA
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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