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NPI Code Detail

MEDICARE: MATTHEW DODARO M.D.

MEDICARE:   MATTHEW  DODARO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085B0100XBody Imaging Physician036112704IL
22085R0202XDiagnostic Radiology Physician01086487AIN

General Provider Information

NPI Number : 1760688360
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW DODARO M.D.
Provider Business Mailing Address
First Line : 6952 ROTE RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-2607
Country : US
Telephone Number : 815-636-8181
Fax Number :
Provider Business Practice Location Address
First Line : 6952 ROTE RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-2607
Country : US
Telephone Number : 815-636-8181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2007
Last Update Date : 06/22/2026

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Directions to “ MATTHEW DODARO M.D.” Practice Location

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