Individual
DR. ANTON BLAINE DODEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 RANDOLPH ST, CANTON, MA 02021-2351
(781) 828-2440
Mailing address
23 CONSTITUTION DR, SOUTHBOROUGH, MA 01772-4020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
74229
MA
Other
Enumeration date
03/02/2006
Last updated
12/29/2011
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