Individual
DR. MICHAEL A DEDEKIAN
Active
Individual
DR. MICHAEL A DEDEKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
224852
MA
2080P0205X
Pediatric Endocrinology Physician
Primary
017981
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2110318
—
MA
05
—
30208479
—
NH
05
—
433775099
—
ME
Enumeration date
02/27/2006
Last updated
01/04/2011
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