NPI 1629188750 · live from the CMS NPI Registry
James Dougherty, M.D.
Family Medicine in Williston, VT. National Provider Identifier 1629188750, active.
NPI record
| NPI | 1629188750 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 28 Park Ave, Williston, VT 05495 |
| Practice phone | 802-878-1008 |
| Enumerated | August 30, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 0420009520 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.