Dougherty, Karen D.

Dougherty, Karen D. is an individual health care provider with primary practice located at 136 Mountainview Blvd , Basking Ridge NJ 07920-3444. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Dougherty, Karen D. can be contacted via phone (908) 542-3000.

Contact Information

Primary practice address
136 Mountainview Blvd Basking Ridge NJ 07920-3444
Phone: (908) 542-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00180400 New Jersey

Profile Details

NPI number 1306172390
LBN Legal business name Dougherty, Karen D.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2009
Last updated Mar 26th, 2012 - about 12 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 1306172390 NPPES
New Jersey MEDICAID 0220337

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