IndividualActive
Gerard Dougherty, P.A.
NPI 1073628673 · Medical Physician Assistant · Woonsocket, RI
Provider details
- NPI number
- 1073628673
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA00402 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
115 Cass Ave
Woonsocket, RI 02895-4705
Phone: (401) 769-4100
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7321
Laconia, NH 03247-7321
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.