Individual
JOSEPH T DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2550 MOSSIDE BLVD STE 500, MONROEVILLE, PA 15146-3514
(412) 457-1100
(412) 457-0250
Mailing address
2550 MOSSIDE BLVD STE 500, MONROEVILLE, PA 15146-3514
(412) 457-1100
(412) 457-0250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD441934
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
MD441934
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102745648
—
PA
Enumeration date
10/22/2008
Last updated
10/05/2020
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