Dougherty, Joseph T

Dougherty, Joseph T is an individual health care provider with primary practice located at 2550 Mosside Blvd Ste 500 , Monroeville PA 15146-3514. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dougherty, Joseph T can be contacted via phone (412) 457-1100.

Contact Information

Primary practice address
2550 Mosside Blvd Ste 500 Monroeville PA 15146-3514
Phone: (412) 457-1100
Fax: (412) 457-0250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD441934 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD441934 Pennsylvania

Profile Details

NPI number 1487806402
LBN Legal business name Dougherty, Joseph T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2008
Last updated Oct 5th, 2020 - about 5 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 1487806402 NPPES
Pennsylvania MEDICAID 102745648

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