Individual
TIMOTHY WARREN DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MIT
Contact information
Practice address
76 VETERANS AVE, BATH, NY 14810-0810
(607) 664-4615
Mailing address
5127 STATE ROUTE 248, CANISTEO, NY 14823-9793
(607) 698-4604
Taxonomy
Speciality
Code
Description
License number
State
246W00000X
Cardiology Technician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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