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1164051637
MAX LOGAN DOUGHERTY
NEW YORK, NY
NPI
1164051637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-06
Last Update Date
2020-04-06
Business Address
MAX LOGAN DOUGHERTY MD, PhD
17 E 102ND ST
NEW YORK, NY 10029-5204
Phone number: 212-659-8551
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Mailing Address
MAX LOGAN DOUGHERTY MD, PhD
17 E 102ND ST
NEW YORK, NY 10029-5204
Phone number: 212-659-8551
Copy
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