National Provider Identifier
Timothy Warren Dodge, MIT
Timothy Warren Dodge, MIT is listed in the NPPES registry with a primary specialty of Cardiology Technician in Bath, NY and a listed phone number of (607) 664-4615.
Profile Overview
- NPI
- 1508978115
- Provider Type
- Individual
- Primary Specialty
- Cardiology Technician
- Enumeration Date
- August 31, 2006
- Last Updated
- July 08, 2007
Practice Location
- 76 Veterans Ave
- Bath, NY 14810-0810
Phone: (607) 664-4615
Mailing Address
- 5127 State Route 248
- Canisteo, NY 14823-9793
Specialties
- Cardiology Technician (246W00000X)
Full Record
- NPI
- 1508978115
- Entity Type
- Individual
- Last Name
- Dodge
- First Name
- Timothy
- Middle Name
- Warren
- Credential
- MIT
- Mailing Street Address
- 5127 State Route 248
- Mailing City
- Canisteo
- Mailing State
- NY
- Mailing ZIP Code
- 14823-9793
- Mailing Country
- US
- Mailing Phone
- (607) 698-4604
- Practice Street Address
- 76 Veterans Ave
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-0810
- Practice Country
- US
- Practice Phone
- (607) 664-4615
- Enumeration Date
- August 31, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Cardiology Technician (246W00000X)