Organization
CHILDRENS CHOICE PEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE DH DOUGHERTY MD (PHYSICIAN)
(330) 686-8424
Entity
Organization
Contact information
Practice address
3925 DARROW RD, #105, STOW, OH 44224-2600
(330) 686-8424
(330) 686-7810
Mailing address
3925 DARROW RD, #105, STOW, OH 44224-2600
(330) 686-8424
(330) 686-7810
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35060329
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0847123
—
OH
Enumeration date
08/18/2005
Last updated
08/22/2020
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