Search › Pennsylvania › 225100000X
Nicole Dougherty
NPI 1164759841 · on the registry since 2009
Practice
- Address
- 519 E Baltimore Pike
Media, PA 19063 - Phone
- (484) 441-0622
- Fax
- (484) 441-0623
Additional practice sites
- 1098 W Baltimore Pike, Media, PA
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-12
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 Pennsylvania