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Individual

DR. DARIN DEAN DOUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15 PARKMAN ST, WAC 8, BOSTON, MA 02114-3117
(617) 724-6300
(617) 726-4078
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-6300
(617) 726-4078

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
80968
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3159922
MA
01
797855
TUFTS HEALTH PLAN
MA
Enumeration date
11/02/2005
Last updated
08/13/2012
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