Individual provider · Type 1 NPI
Amy Dougherty, D.P.M.
Foot & Ankle Surgery Podiatrist · Philadelphia, PA
NPI number
1184885881
Active
Practice location
8001 Roosevelt Blvd, Suite 203
Philadelphia, PA 19152-3038
Fax (215) 332-5228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 25MD00320000 (NJ) |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | SC006066 (PA) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006066 (PA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 25MD00320000 (NJ) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1184885881
Amy Dougherty, D.P.M.'s National Provider Identifier is 1184885881, issued on Jun 24, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 24, 2023.