Individual
SERGEY DIKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
58 CLARENDON AVE, CHICOPEE, MA 01013-1840
(413) 335-4366
(413) 426-4762
Mailing address
114 BIRCH HILL RD, AGAWAM, MA 01001-3104
(413) 335-4366
(413) 426-4762
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
S26191873
MA
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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