Doherty, Sean T

Doherty, Sean T is an individual health care provider with primary practice located at 1 Brookline Pl Ste 427 , Brookline MA 02445-7296. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Doherty, Sean T can be contacted via phone (617) 735-8735.

Contact Information

Primary practice address
1 Brookline Pl Ste 427 Brookline MA 02445-7296
Phone: (617) 735-8735
Fax: (617) 735-8735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 229269 Massachusetts

Profile Details

NPI number 1265549307
LBN Legal business name Doherty, Sean T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265549307 NPPES
Massachusetts MEDICAID 0003976

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