Individual
ANDREA DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 CHAPEL STREET, NEW HAVEN, CT 06511
(203) 867-5426
(203) 867-5427
Mailing address
1450 CHAPEL STREET, NEW HAVEN, CT 06511
(203) 867-5426
(203) 867-5427
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
024841
CT
207RX0202X
Medical Oncology Physician
Primary
024841
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001248418
—
CT
Enumeration date
06/09/2006
Last updated
01/28/2013
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