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

Dr. Glen A Doherty, MDPHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407094451

Dr. Glen A Doherty, MDPHD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2009.

Licensed in
MA
In the registry since
2009

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Boston, MA

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 237937 (MA)

Record details

NPI number1407094451
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJanuary 29, 2009
Last updated in NPPESJanuary 29, 2009

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