Individual provider · Type 1 NPI

Danielle Elizabeth Dougherty, PA-C

Medical Physician Assistant · Fairfield, CT

NPI number 1215758131 Active

Practice location

75 Kings Highway Cutoff
Fairfield, CT 06824-5340

Fax (203) 333-3937

Mailing address

4550 Prestwick Dr
Reading, PA 19606-8909

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1215758131

Danielle Elizabeth Dougherty, PA-C's National Provider Identifier is 1215758131, issued on Oct 23, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fairfield, CT. The record was last updated on Oct 23, 2024.