Individual
PATRICK D ODER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
585 LEBANON ST, RADIOLOGY DEPARTMENT, MELROSE, MA 02176-3225
(781) 979-3120
(781) 979-3994
Mailing address
37 CORDIS ST, WAKEFIELD, MA 01880-1746
(781) 979-3120
(781) 979-3994
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
204428
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134571
—
MA
Enumeration date
06/16/2006
Last updated
07/08/2007
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