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MERRIEBETH DODGE DO

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1801857933

Individual Registrant:
 MERRIEBETH  DODGE DO
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1 HOSPTAL ROAD  OAK BLUFFS, MA 02557-1477 US
Tel: 508-693-3164  Fax: 508-696-5238

Contact information for business:
1HOSPTAL ROAD  OAK BLUFFS, MA 02557-1477 US
Tel: 508-693-3164  Fax: 508-696-5238

Registration Information:
NPI: 1801857933
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
MA220282
N208M00000XAllopathic & Osteopathic Physicians
Hospitalist
MA220282

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CAPITAL PHYSICIANS HEALTH10083969MA01
HEALTH NEW ENGLAND34098MA01
CIGNA INDEMNITY6298964MA01
2072220MA05
GIC INDEMNITY043531502MA01
BCBSJ27382MA01
MVP781262MA01
RAILROAD MEDICAREP00131174MA01
TUFTS469003MA01
HARVARDAA19492MA01
HEALTHNET000000028288MA01




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