Individual
MRS. CARRIE A DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
24 BATTLE ST, SOMERS, CT 06071-1629
(860) 749-8887
(860) 749-7421
Mailing address
24 BATTLE ST, SOMERS, CT 06071-1629
(860) 749-8887
(860) 749-7421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001263
CT
Other
Enumeration date
05/05/2006
Last updated
11/12/2021
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