PHILIP J DOHERTY MD FACC PC NPI 1508047531

NPI Information

  • NPI: 1508047531
  • Provider Name: PHILIP J DOHERTY MD FACC PC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 100 HIGHLAND STREET
    SUITE 106
    MILTON, MA
    ZIP 02186
  • Phone: (617) 696-0430

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NPI Details

PHILIP J DOHERTY MD FACC PC is a cardiovascular disease internal medicine in Milton, MA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PHILIP J DOHERTY MD FACC PC NPI is 1508047531. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 HIGHLAND STREET
SUITE 106
MILTON, MA
ZIP 02186-268
Phone: (617) 696-0430
Fax: (617) 698-1625

The provider's authorized official is Philip J Doherty .
The authorized official title is Md and has the following contact phone number (617) 696-0430.

The enumeration date for this NPI number is 11/19/2007 and was last updated on 11/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M12648MEDICARE PINMASSACHUSETTS
2M12648OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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