Provider Demographics
NPI:1316935901
Name:DODSON, CARA STANKO (MD)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:STANKO
Last Name:DODSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:M
Other - Last Name:STANKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:819 PENNSTONE
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010
Mailing Address - Country:US
Mailing Address - Phone:917-836-7717
Mailing Address - Fax:917-836-7717
Practice Address - Street 1:819 PENNSTONE
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010
Practice Address - Country:US
Practice Address - Phone:917-836-7717
Practice Address - Fax:917-836-7717
Is Sole Proprietor?:No
Enumeration Date:2005-10-09
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235109207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology