Individual provider · Type 1 NPI

Gerard Francis Dougherty, P.A.

Medical Physician Assistant · Woonsocket, RI

NPI number 1073628673 Active

Practice location

115 Cass Ave
Woonsocket, RI 02895-4705

Mailing address

PO Box 7321
Laconia, NH 03247-7321

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00402 (RI)

Medical Physician Assistant: Definition to come...

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About NPI 1073628673

Gerard Francis Dougherty, P.A.'s National Provider Identifier is 1073628673, issued on Aug 21, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Woonsocket, RI. The record was last updated on Jul 8, 2007.