Individual provider · Type 1 NPI

Sean Doherty, PA-C

Surgical Physician Assistant · Boston, MA

NPI number 1043862568 Active

Practice location

725 Albany Street, Shapiro 3, Suite A
Boston, MA 02118

Call (617) 414-4861 Map

Fax (617) 414-3617

Mailing address

801 Albany Street, Fl Ground
Boston, MA 02119

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA7121 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1043862568

Sean Doherty, PA-C's National Provider Identifier is 1043862568, issued on Jul 15, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boston, MA. The record was last updated on Oct 15, 2021.