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Individual

BRIAN DOUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
595 W STATE ST, DOYLESTOWN, PA 18901-2554
(215) 345-2200
Mailing address
4933 MEAD DR, DOYLESTOWN, PA 18902-1186

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SPO19541
PA

Other

Enumeration date
04/12/2019
Last updated
04/12/2019
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