Dodge, Sarah A

Dodge, Sarah A is an individual health care provider with primary practice located at 20 High St , Nutley NJ 07110-1132. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Dodge, Sarah A can be contacted via phone (973) 284-1881.

Contact Information

Primary practice address
20 High St Nutley NJ 07110-1132
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA08919700 New Jersey

Profile Details

NPI number 1235143504
LBN Legal business name Dodge, Sarah A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Jul 1st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235143504 NPPES
New Jersey MEDICAID 0262676

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