Individual
ERIN L DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 2E99, NEWARK, DE 19718-2200
(302) 733-5982
(302) 733-6081
Mailing address
4755 OGLETOWN STANTON RD FL 3, NEWARK, DE 19718-2200
(302) 733-3475
(302) 325-7056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0011458
DE
363A00000X
Physician Assistant
PA105199
MD
Other
Enumeration date
11/02/2020
Last updated
09/16/2024
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