National Provider Identifier
Thomas Dougherty, M.D.
Thomas Dougherty, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Clarence, NY and a listed phone number of (716) 759-8811.
Profile Overview
- NPI
- 1245256502
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- July 13, 2006
- Last Updated
- July 06, 2010
Practice Location
- 9900 Main St
- Clarence, NY 14031-2043
Phone: (716) 759-8811
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1245256502
- Entity Type
- Individual
- Last Name
- Dougherty
- First Name
- Thomas
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 9900 Main St
- Mailing City
- Clarence
- Mailing State
- NY
- Mailing ZIP Code
- 14031-2043
- Mailing Country
- US
- Mailing Phone
- (716) 759-8811
- Mailing Fax
- (716) 759-2042
- Practice Street Address
- 9900 Main St
- Practice City
- Clarence
- Practice State
- NY
- Practice ZIP Code
- 14031-2043
- Practice Country
- US
- Practice Phone
- (716) 759-8811
- Practice Fax
- (716) 759-2042
- Enumeration Date
- July 13, 2006
- Last Updated
- July 06, 2010
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 005002791 (NY, Provider Id Blue Cross), 0101390 (NY, Provider Id Independent H), 0010047701 (NY, Provider Id Univera)