JOHN DOUGHERTY

PHILADELPHIA, PA
NPI1508060054
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA051960)
Enumeration Date2007-06-11
Last Update Date2007-07-08
Business Address
-- JOHN DOUGHERTY PA-C
333 COTTMAN AVE H3116
PHILADELPHIA, PA 19111-2434
Phone number: 215-728-4074
Mailing Address
-- JOHN DOUGHERTY PA-C
424 PERKIOMEN AVE
LANSDALE, PA 19446-3529
Phone number: 215-368-4756