Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | ME80161 | FL |
NPI | 1063503357 |
---|---|
Provider Name | Dr. Robert A Doughty |
First Address | Easton, MD 21601-5725 |
Second Address | Easton, MD 21601-5725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 13/01/2011 |