Individual
MR. MATTHEW HARRISON DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
35 PARK ST, 8TH FLOOR, NEW HAVEN, CT 06519-1110
(203) 200-1638
Mailing address
PO BOX 208018, NEW HAVEN, CT 06520-8018
(203) 785-7284
(203) 737-2591
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3518
CT
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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