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DR. WILLIAM JOSEPH DOHERTY MD NPI 1669466223


NPI Information

NPI: 1669466223
Provider Name: DR. WILLIAM JOSEPH DOHERTY, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Organization: CAMBRIDGE PUBLIC HEALTH COMMISSION

PECOS Registration: Yes

Address:
92 MONTVALE AVE
SUITE 1400
STONEHAM, MA
ZIP 02180
Phone: (781) 279-7040
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DR. William Joseph Doherty, MD is a specialist in Stoneham, MA with 39 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. William Joseph Doherty, MD NPI is 1669466223. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1985

The provider's business location address is:

92 MONTVALE AVE
SUITE 1400
STONEHAM, MA
ZIP 02180-647
Phone: (781) 279-7040
Fax: (781) 279-8430

The NPI 1669466223 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/9/2005 and was last updated on 7/15/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist77843MASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1J13735MEDICARE ID-TYPE UNSPECIFIED
2E58042MEDICARE UPINMASSACHUSETTS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.