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Individual

MICHELLE L DOUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
219 N BROAD ST, 7TH FLOOR, PHILADELPHIA, PA 19107-1519
(215) 762-6915
(215) 762-6914
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1320
(215) 255-7822
(215) 255-7825

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
232697
MA
2084N0400X
Neurology Physician
Primary
MD438250
PA

Other

Enumeration date
07/25/2007
Last updated
05/06/2016
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