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Contact Information

DONNA DOHERTY
108 PATERSON ST
2ND FL
JERSEY CITY, NJ07307-3426
 Phone: 201-401-4557
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DONNA DOHERTY · (Female)

NPI Number 1619245255
Status Active
Credentials
Entity Individual
Enumeration date 12/10/2011
Last updated 12/30/2014 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 46TR00080800
Hospital affiliation(s) Not Available
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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