Dodie Heredia, MD
Student in an Organized Health Care Education/Training Program in Danbury, CT. Individual provider (NPI-1).
NPI number1013761998
StatusActive
Last updated in NPPESApr 16, 2024
Details
- NPI
- 1013761998
- Entity type
- Individual (NPI-1)
- Name
- Dodie Heredia
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2024
- Certification date
- Apr 16, 2024
- Last updated
- Apr 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
120 Main StDanbury, CT 06810-7834
Phone 203-743-9760
Mailing address
120 Main StDanbury, CT 06810-7834
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