Amy Dougherty in Philadelphia - Primary Podiatric Medicine

Amy Dougherty - NPI 1184885881

Amy Dougherty is a Primary Podiatric Medicine in Philadelphia, Pennsylvania. Amy Dougherty practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Amy Dougherty is 1184885881. The last update date is 2023-02-24.

Amy Dougherty's current location address is 8001 Roosevelt Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2153325300 and fax number 2153325228. The mailing address for Amy Dougherty is 8001 Roosevelt Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Amy Dougherty
Address 8001 Roosevelt Blvd, Philadelphia, Pennsylvania
Phone Number 2153325300
Fax Number 2153325228
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1184885881
Provider Enumeration Date 2008-06-24
Last Updated Date 2023-02-24

Provider Mailing Address Detail

Address 8001 Roosevelt Blvd
City Philadelphia
State Pennsylvania (PA)
Post Code 191523038
Phone Number 2153325300
Fax Number 2153325228

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No 25MD00320000
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7844107 NJ --
1030852380001 PA --

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FAQs about Amy Dougherty

What is the unique 10-digit identification code assigned to Amy Dougherty by the Centers for Medicare & Medicaid Services?

The Amy Dougherty has been issued the NPI (National Provider Identifier) 1184885881, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Amy Dougherty located?

The Amy Dougherty is located at 8001 Roosevelt Blvd, Philadelphia, PA 191523038.

What is Amy Dougherty's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Amy Dougherty's specialized field of practice is Primary Podiatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 213Ep1101X.

On what date did the Centers for Medicare & Medicaid Services assign the 1184885881 to Amy Dougherty?

The Centers for Medicare & Medicaid Services assigned the 1184885881 to Amy Dougherty on 2008-06-24.

When was the information related to Amy Dougherty most recently updated or refreshed?

The details pertaining to the Amy Dougherty, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-02-24.

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