Mary Jo Dougherty in Virginia Beach - Medical
Mary Jo Dougherty - NPI 1578602017
Mary Jo Dougherty is a Medical in Virginia Beach, Virginia. Mary Jo Dougherty practices all healthcare services and medical treatments related to Medical. The NPI Number for Mary Jo Dougherty is 1578602017. The last update date is 2014-11-04.
Mary Jo Dougherty's current location address is 1133 First Colonial Rd, Virginia Beach, Virginia. You can contact this provider via phone number 7574962050. The mailing address for Mary Jo Dougherty is 1133 First Colonial Rd, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Dougherty |
|---|---|
| Address | 1133 First Colonial Rd, Virginia Beach, Virginia |
| Phone Number | 7574962050 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA - C |
NPI Number Detail
| NPI Number | 1578602017 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2014-11-04 |
Provider Mailing Address Detail
| Address | 1133 First Colonial Rd |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234542402 |
| Phone Number | 7574962050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | MA052848 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique identifier code issued to Mary Jo Dougherty by the Centers for Medicare & Medicaid Services?
The Mary Jo Dougherty has been assigned the NPI (National Provider Identifier) 1578602017. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mary Jo Dougherty located?
The Mary Jo Dougherty is located at 1133 First Colonial Rd, Virginia Beach, VA 234542402.
What is Mary Jo Dougherty's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mary Jo Dougherty is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Mary Jo Dougherty receive its 1578602017 assignment from the Centers for Medicare & Medicaid Services?
The Mary Jo Dougherty was assigned its 1578602017 by the Centers for Medicare & Medicaid Services on 2007-02-05.
As of what date were the details related to Mary Jo Dougherty most recently updated or revised?
The information pertaining to Mary Jo Dougherty, including its address, specialty, and other relevant details, was last updated or revised on 2014-11-04.