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Individual

CATHLEEN DOUGHERTY

Active
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Individual

CATHLEEN DOUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME76220
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2071628
AETNA HMO
05
255037700
FL
01
44339
BCBS
01
5286666
AETNA PPO
01
ME76220
FLORIDA LICENSE
FL
Enumeration date
06/02/2006
Last updated
05/28/2008
Update your record

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