Organization
BODKHE & DICKEY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERSON DICKEY MD (OWNER)
(413) 772-6040
Entity
Organization
Contact information
Practice address
51 SANDERSON ST STE 10, GREENFIELD, MA 01301-2739
(413) 772-6040
Mailing address
PO BOX 910, GREENFIELD, MA 01302-0910
(413) 772-8500
(413) 772-8900
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
75064
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0320978
—
MA
01
—
075064
TUFTS
MA
05
—
1011419
—
VT
01
—
20471
BMC HEALTHNET
MA
05
—
3089703
—
MA
01
—
61318
HARVARD PILGRIM
MA
01
—
BOJ12140
BC LOCAL TEAMSTERS
MA
01
—
J12140
BC/BS MA
MA
01
—
P00125351
RR MEDICARE
MA
Enumeration date
08/09/2006
Last updated
08/22/2020
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