Individual
MS. LINDA L DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
85 PRESCOTT ST, SUITE 304, WORCESTER, MA 01605-2610
(508) 753-7259
(508) 753-9577
Mailing address
85 PRESCOTT ST, SUITE 304, WORCESTER, MA 01605-2610
(508) 753-7259
(508) 753-9577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
86175
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0354503
—
MA
Enumeration date
08/30/2006
Last updated
05/17/2013
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