Individual
CAROLINE DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
33 POLK ST APT 69, CHARLESTOWN, MA 02129-1967
(617) 586-6818
Mailing address
9 SAMOSET RD, WOBURN, MA 01801-6127
(617) 586-6818
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN2291709
MA
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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