Individual
DR. ROBERT WAYNE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 EAST AVE, LOCKPORT, NY 14094-3835
(716) 434-6141
(716) 434-0594
Mailing address
160 EAST AVE, LOCKPORT, NY 14094-3835
(716) 434-6141
(716) 434-0594
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
184736-7
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01449485
—
NY
Enumeration date
05/17/2006
Last updated
05/31/2012
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