Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Glen A Doherty, MDPHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407094451

Dr. Glen A Doherty, MDPHD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2009.

Licensed in
MA
In the registry since
2009

Practice location Address checks out

330 Brookline Ave BIDMC Gi Division E/DANA-501
Boston, MA 02215-5400
Phone: (617) 735-2929
Fax: (617) 735-2930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 237937 (MA)

Record details

NPI number1407094451
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJanuary 29, 2009
Last updated in NPPESJanuary 29, 2009

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