Individual
DR. SARAH A DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 HIGH ST, NUTLEY, NJ 07110-1132
(973) 284-1881
Mailing address
20 HIGH ST, NUTLEY, NJ 07110-1132
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08919700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262676
—
NJ
Enumeration date
07/29/2006
Last updated
07/01/2015
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