SearchVirginia207RG0100X

Timothy Dougherty, M.D

NPI 1629232723 · on the registry since 2008

Practice

Address
4660 Kenmore Ave Ste 100
Alexandria, VA 22304
Phone
(703) 751-5763
Fax
(703) 370-8704
Organisation at this address
Wagoner Llc
Niyadell, Inc
Sonus-Usa, Inc.
Nova Surgery Llc
John C Yi Dds Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
163

Registry record

Primary taxonomy
207RG0100X
207RG0100X
Also registered as
207R00000X
207RG0100X
Licence states on file
DC, VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

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 Virginia