Individual
DR. ROBERT DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
126 W FRONT ST, BERWICK, PA 18603-4702
(570) 752-7458
Mailing address
21 TILLER RD, SHAVERTOWN, PA 18708-9677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG004062
PA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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