Individual
MS. REGINA E DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
16 EDEN LN, WHIPPANY, NJ 07981-1402
(973) 240-3000
Mailing address
68 W VALLEY BROOK RD, LONG VALLEY, NJ 07853-3092
(908) 229-5796
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00707200
NJ
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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