Individual
MR. JEFFERSON HALEY DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
260 NEW LUDLOW ROAD, WESTERN MASS PHYSICIAN ASSOCIATES, INC., CHICOPEE, MA 01020
(413) 534-2622
(413) 534-2661
Mailing address
262 NEW LUDLOW ROAD, CHICOPEE MEDICAL CENTER, CHICOPEE, MA 01020
(413) 552-3250
(413) 552-3255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
75064
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110092205A
—
MA
Enumeration date
07/24/2006
Last updated
10/31/2012
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