Doherty, Meaghan C.

Doherty, Meaghan C. is an sole proprietor health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Doherty, Meaghan C. can be contacted via phone (774) 441-7765.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Phone: (774) 441-7765
Fax: (774) 441-8054
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X LP01977 Rhode Island
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 268174 Massachusetts

Profile Details

NPI number 1417277237
LBN Legal business name Doherty, Meaghan C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2010
Last updated Nov 21st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417277237 NPPES
Massachusetts MEDICAID 110120101A

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