Individual
ALEXANDER WELLINGTON DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-5600
Mailing address
2307 FIX RD, GRAND ISLAND, NY 14072-2543
(716) 536-5082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
029875
NY
Other
Enumeration date
04/24/2023
Last updated
09/07/2023
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