Individual provider · NPI-1

Jane Dickerman, MD

Ophthalmology · Norwood, MA

NPI number1245216175
StatusActive
Last updated in NPPESJul 17, 2012

Details

NPI
1245216175
Entity type
Individual (NPI-1)
Name
Jane Dickerman
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Dec 22, 2005
Last updated
Jul 17, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology58656MAYes

Practice location

91 Central St
Suite B
Norwood, MA 02062-3551

Phone 781-501-5650 · Fax 781-501-5659

Mailing address

91 Central St
Suite B
Norwood, MA 02062-3551

Phone 781-501-5650 · Fax 781-501-5659

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