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JEFFREY ALAN DODGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
46 BROAD STREET, SUITE A, PLATTSBURGH, NY 12901-3301
(518) 566-9452
(518) 566-9831
Mailing address
46 BROAD STREET, SUITE A,, PLATTSBURGH, NY 12901-3301
(518) 566-9452
(518) 562-7189

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
219394
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02102725
NY
Enumeration date
02/27/2006
Last updated
10/08/2024
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