Provider Demographics
NPI:1912026410
Name:CHERY, L'TRICIA DORIS (MD)
Entity Type:Individual
Prefix:DR
First Name:L'TRICIA
Middle Name:DORIS
Last Name:CHERY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:L'TRICIA
Other - Middle Name:DORIS OGLESBY
Other - Last Name:CHERY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1226 UPDYKE DR
Mailing Address - Street 2:
Mailing Address - City:JOHNS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29455-7671
Mailing Address - Country:US
Mailing Address - Phone:781-507-1212
Mailing Address - Fax:
Practice Address - Street 1:705 MOUNT AUBURN ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-1508
Practice Address - Country:US
Practice Address - Phone:617-972-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2019-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA231020207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology