Doughty Podiatry, P.A.
Podiatrist in Baltimore, MD. Organization (NPI-2).
NPI number1043383045
StatusActive
Last updated in NPPESAug 27, 2009
Details
- NPI
- 1043383045
- Entity type
- Organization (NPI-2)
- Legal business name
- Doughty Podiatry, P.A.
- Organization subpart
- No
- Enumeration date
- Nov 16, 2006
- Last updated
- Aug 27, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 00244 | MD | Yes |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 01316 | MD |
Other names
- Michael A. Doughty, D.P.M. (Other Name)
Practice location
404 Eastern Blvd Ofc 1Baltimore, MD 21221-6714
Phone 410-687-4800 · Fax 410-687-3460
Mailing address
404 Eastern Blvd Ofc 1Baltimore, MD 21221-6714
Phone 410-687-4800 · Fax 410-687-3460
Authorized official
Michael Anthony Doughty
President
4106874800
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