| Nicholas Dodge, M.D., P.C. | |
|
414 E Drinker St Ste 204 Dunmore PA 18512-2469 | |
| (570) 344-5115 | |
| (570) 344-2123 |
| Full Name | Nicholas Dodge, M.D., P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 414 E Drinker St Ste 204, Dunmore, Pennsylvania |
| Authorized Official Name and Position | Nicholas Dodge (PRESIDENT) |
| Authorized Official Contact | 5703445115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Dodge, M.D., P.C. 121 Vosburg Ln Clarks Summit PA 18411-2717 Ph: (570) 344-5115 | Nicholas Dodge, M.D., P.C. 414 E Drinker St Ste 204 Dunmore PA 18512-2469 Ph: (570) 344-5115 |
| NPI Number | 1669669859 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669669859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD054271L (Pennsylvania) | Primary |
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