Individual
GEORGE M DODDS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 W. BARNEY ST., GOUVERNEUR, NY 13642
(315) 287-4440
(315) 287-1858
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 261-6034
(315) 261-6025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
243767
NY
2080A0000X
Pediatric Adolescent Medicine Physician
243767
NY
208M00000X
Hospitalist Physician
243767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01270039
—
NY
05
—
01995615
—
NY
Enumeration date
06/07/2006
Last updated
09/16/2015
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