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1508060054
JOHN DOUGHERTY
PHILADELPHIA, PA
NPI
1508060054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA051960)
Enumeration Date
2007-06-11
Last Update Date
2007-07-08
Business Address
-- JOHN DOUGHERTY PA-C
333 COTTMAN AVE H3116
PHILADELPHIA, PA 19111-2434
Phone number: 215-728-4074
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Mailing Address
-- JOHN DOUGHERTY PA-C
424 PERKIOMEN AVE
LANSDALE, PA 19446-3529
Phone number: 215-368-4756
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