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

Individual provider Physician Assistant · NPI 1508060054

John Dougherty, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

333 Cottman Ave H3116
Philadelphia, PA 19111-2434
Phone: (215) 728-4074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA051960 (PA)

Record details

NPI number1508060054
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 11, 2007
Last updated in NPPESJuly 8, 2007

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