Charles Dougherty

NPI #1194717926 in Reston, Virginia

Provider Information

NPI Number: 1194717926
Entity Type: Individual
Name: Charles Dougherty
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Enumeration Date: Aug 18, 2005
Last Updated: Jan 11, 2011

Practice Location

Address: 1850 TOWN CENTER PKWY
City: Reston
State: Virginia
ZIP Code: 20190-3219
Phone: (703) 471-0919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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