Individual
JAMES E DOUGHERTY
Active
Individual
JAMES E DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
017309
CT
207UN0901X
Nuclear Cardiology Physician
017309
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010017309CT01
ANTHEM BCBS
CT
01
—
060000677
MCPIN CT HEART PHYSICIANS
CT
01
—
060038840
RAILROAD MEDICARE
CT
05
—
1173095
—
CT
01
—
C00585
PTAN
CT
01
—
CA7937
RAILROAD MEDICARE GROUP #
CT
Enumeration date
10/26/2005
Last updated
05/20/2015
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