Individual
DR. KENNETH GEOFFREY DOUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA HOSPITAL MEDICAL CENTER, JAMAICA, NY 11418-2897
(718) 206-6070
(718) 206-6085
Mailing address
8900 VAN WYCK EXPY, JAMAICA HOSPITAL MEDICAL CENTER, JAMAICA, NY 11418-2897
(718) 206-6070
(718) 206-6085
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
143396
NY
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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