Individual
HAIG DODAKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
27 JEFFERSON DRIVE, RIDGEFIELD, CT 06877
(201) 264-0070
Mailing address
27 JEFFERSON DRIVE, RIDGEFIELD, CT 06877
(201) 264-0070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3082
CT
363AM0700X
Medical Physician Assistant
Primary
3082
CT
Other
Enumeration date
04/14/2014
Last updated
02/28/2015
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