Lance M Dodes M.D.

NPI 1063451060 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1063451060
Gender Male
Enumeration Date 06/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1163 WALNUT ST
NEWTON MA, 02461-1265, US
Phone (617) 527-6764
Fax
Business Location
1163 WALNUT ST
NEWTON MA, 02461-1265, US
Phone
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Massachusetts
License Number 34865
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According to our database, Lance M Dodes M.D. NPI is 1063451060, taxonomy code is 2084P0800X and license number is 34865, license state is located at Massachusetts. Lance M Dodes M.D. physically located at 1163 Walnut St, Newton MA, 02461-1265. NPI Number Lance M Dodes M.D. has the Individual type.

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1063451060 NPI number is provided on an as is basis without warranty of any kind. 1063451060 is maintained by the National Plan & Provider Enumeration System. The contents of Lance M Dodes M.D. are for informational purposes only.