BRIAN DOUGHERTY

PROVIDENCE, RI
NPI1003481060
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  LP05327)
Enumeration Date2021-05-23
Last Update Date2021-05-23
Business Address
BRIAN DOUGHERTY MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4741
Mailing Address
BRIAN DOUGHERTY MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4741
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