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Michaella Dziedzic, D.O.

Pediatrics in Plymouth, MA. Individual provider (NPI-1).

NPI number1801239686
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1801239686
Entity type
Individual (NPI-1)
Name
Michaella Dziedzic
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 11, 2013
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics267044MAYes

Other names

  • Michaella Jamiel (Former Name)

Practice location

139 Sandwich St
Plymouth, MA 02360-2449

Phone 508-746-5900 · Fax 508-747-2290

Mailing address

139 Sandwich St
Plymouth, MA 02360-2449

Phone 508-746-5900 · Fax 508-747-2290

Other practice locations

500 University Dr
Mch085
Hershey, PA 17033-2360

Phone 717-531-8603

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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