Danielle Elizabeth Dougherty, PA-C
Physician Assistant, Medical in Fairfield, CT. Individual provider (NPI-1).
NPI number1215758131
StatusActive
Last updated in NPPESOct 23, 2024
Details
- NPI
- 1215758131
- Entity type
- Individual (NPI-1)
- Name
- Danielle Elizabeth Dougherty
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2024
- Certification date
- Oct 23, 2024
- Last updated
- Oct 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
75 Kings Highway CutoffFairfield, CT 06824-5340
Phone 877-925-3637 · Fax 203-333-3937
Mailing address
4550 Prestwick DrReading, PA 19606-8909
Phone 484-336-3217
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All 17 Medical Physician Assistant providers in Fairfield · All 1,933 providers in Fairfield
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