Individual
JANE DICKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
58656
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003391
NEIGHBORHOOD HEALTH PLAN
MA
01
—
08-00023
EVERCARE
MA
01
—
08-02010
UNITED HEALTH CARE
MA
01
—
15185
HARVARD PILGRIM HEALTH CA
MA
01
—
180011813
RAILROAD MEDICARE
MA
05
—
3028143
—
MA
01
—
4864216-002
CIGNA PAL
MA
01
—
7017
AETNA/USHC
MA
Enumeration date
12/22/2005
Last updated
07/17/2012
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