CHARLES DOUGHERTY

RESTON, VA
NPI1194717926
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: VA  0101233598)
Enumeration Date2005-08-18
Last Update Date2011-01-11
Business Address
-- CHARLES DOUGHERTY
1850 TOWN CENTER PKWY
RESTON, VA 20190-3219
Phone number: 703-471-0919
Mailing Address
-- CHARLES DOUGHERTY
11341 SUNSET HILLS RD
RESTON, VA 20190-5205
Phone number: 703-471-0919
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