Individual
DR. SCOTT D DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2023 PULASKI HWY, HAVRE DE GRACE, MD 21078-2137
(410) 939-6477
Mailing address
404 BUTTONWOODS RD, ELKTON, MD 21921-6516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA 2557
MD
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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