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Contact Information

AMY DOUGHERTY, DPM
8001 ROOSEVELT BLVD
SUITE 203
PHILADELPHIA, PA19152-3038
 Phone: 215-332-5300
 Fax: 215-332-5228
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AMY DOUGHERTY · (Female)

NPI # 1184885881
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/24/2008
Last updated 02/24/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MD00320000
  • PA License # SC006066
  • NJ Medicaid 7844107
  • PA Medicaid 1030852380001
Hospital affiliation(s)
  • ARIA HEALTH - (Acute Care)
    10800 KNIGHTS ROAD
    PHILADELPHIA, PA 19114
  • LOURDES MEDICAL CENTER OF BURLINGTON COUNTY - (Acute Care)
    218A SUNSET ROAD
    WILLINGBORO, NJ 08046
  • VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY - (Acute Care)
    175 MADISON AVE
    MOUNT HOLLY, NJ 08060
  • VIRTUA WEST JERSEY HOSPITALS BERLIN - (Acute Care)
    WHITEHORSE PIKE AND TOWNSEND AVENUE
    BERLIN, NJ 08009
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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