Provider Demographics
NPI:1730478371
Name:DOUGHERTY, JAMES BERNARD JR (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:BERNARD
Last Name:DOUGHERTY
Suffix:JR
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:55 BROAD STREET SUITE 1840
Mailing Address - Street 2:ARCUS GROUP
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004
Mailing Address - Country:US
Mailing Address - Phone:212-785-2236
Mailing Address - Fax:212-785-2237
Practice Address - Street 1:55 BROAD STREET SUITE 1840
Practice Address - Street 2:ARCUS GROUP
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004
Practice Address - Country:US
Practice Address - Phone:212-785-2236
Practice Address - Fax:212-785-2237
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
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Provider Licenses
StateLicense IDTaxonomies
NY147906207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine