Individual
DR. THEODORE RAYMOND DAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACPNP, DNP
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-1000
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-3370
(845) 333-3372
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
382855
NY
Other
Enumeration date
01/17/2018
Last updated
07/13/2022
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