Individual
DAVID DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4204
(215) 615-0063
(215) 349-8144
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4204
(215) 615-0063
(215) 349-8144
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD434110
PA
Other
Enumeration date
05/08/2007
Last updated
02/28/2022
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