IndividualActive
Amy Dougherty, D.P.M.
NPI 1184885881 · Foot & Ankle Surgery Podiatrist · Philadelphia, PA
Provider details
- NPI number
- 1184885881
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Female
- Sole proprietor
- No
- License
- 25MD00320000 (NJ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
8001 Roosevelt Blvd
Suite 203
Philadelphia, PA 19152-3038
Phone: (215) 332-5300
Fax: (215) 332-5228
Approximate (ZIP-level) locationGet directions
Mailing address
8001 Roosevelt Blvd
Philadelphia, PA 19152-3038
Registry dates
- Enumerated
- 2008-06-24
- Last updated
- 2023-02-24
- Certified
- 2023-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.