Individual
DR. MICHAEL DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
913 VILLAGE DRIVE WEST, NORTH BRUNSWICK, NJ 08902
(570) 956-2507
Mailing address
913 VILLAGE DR W, NORTH BRUNSWICK, NJ 08902-2825
(570) 956-2507
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D67975447711863
NJ
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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