National Provider Identifier
Alexander Wellington Dodge, PA
Alexander Wellington Dodge, PA is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 859-5600.
Profile Overview
- NPI
- 1184311698
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 24, 2023
- Last Updated
- September 07, 2023
Practice Location
- 100 High St
- Buffalo, NY 14203-1126
Phone: (716) 859-5600
Mailing Address
- 2307 Fix RD
- Grand Island, NY 14072-2543
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1184311698
- Entity Type
- Individual
- Last Name
- Dodge
- First Name
- Alexander
- Middle Name
- Wellington
- Credential
- PA
- Mailing Street Address
- 2307 Fix RD
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072-2543
- Mailing Country
- US
- Mailing Phone
- (716) 536-5082
- Practice Street Address
- 100 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1126
- Practice Country
- US
- Practice Phone
- (716) 859-5600
- Enumeration Date
- April 24, 2023
- Last Updated
- September 07, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 07, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)