Individual
JONATHAN DODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
96 DANBURY RD, RIDGEFIELD, CT 06877-4069
(203) 438-0874
Mailing address
2 TEABERRY LN UNIT 2, RIDGEFIELD, CT 06877-3349
(857) 417-5294
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12993
CT
Other
Enumeration date
03/14/2024
Last updated
05/16/2024
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