Individual
DR. RACHEL DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
200 N WOLFE ST, BALTIMORE, MD 21287-0011
(410) 955-5710
Mailing address
200 N WOLFE ST, BALTIMORE, MD 21287-0011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D63102
MD
208000000X
Pediatrics Physician
Primary
D0063102
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409093400
—
MD
01
—
60059303
BLUE CROSS
MD
Enumeration date
06/02/2006
Last updated
03/04/2010
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