Individual
PAUL G JODKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2441
(413) 582-2472
Mailing address
30 LOCUST ST, NORTHAMPTON, MA 01060
(413) 582-2441
(413) 582-2472
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
153137
MA
208VP0014X
Interventional Pain Medicine Physician
Primary
153137
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110060193A
—
MA
Enumeration date
08/18/2006
Last updated
10/05/2018
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