Individual
DR. PATRICK F DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
194 HOWARD ST STE 3, NEW LONDON, CT 06320-5544
(860) 442-0564
Mailing address
194 HOWARD ST, SUITE 3 WEST, NEW LONDON, CT 06320
(860) 442-0564
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
037460
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001374602
—
CT
Enumeration date
01/02/2007
Last updated
08/12/2020
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