SearchNew Hampshire225200000X

Jacob O'Dougherty

NPI 1083968770 · on the registry since 2012

Practice

Address
200 Pleasant St
Concord, NH 03301
Phone
(603) 225-6644
Organisation at this address
New Hampshire Odd Fellows Home
New Hampshire Odd Fellows Home
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
NH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Hampshire