Individual
PAUL DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3912 GEORGIA AVE NW, WASHINGTON, DC 20011-5861
(202) 483-8196
Mailing address
3912 GEORGIA AVE NW, WASHINGTON, DC 20011-5861
(202) 483-8196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D746406
MD
208000000X
Pediatrics Physician
Primary
MD041643
DC
Other
Enumeration date
03/09/2009
Last updated
09/05/2013
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