Individual
BENJAMIN C. DICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
222 CAREW ST, STE 101, SPRINGFIELD, MA 01104-4105
(413) 736-3225
(413) 736-3382
Mailing address
222 CAREW ST, STE 101, SPRINGFIELD, MA 01104-4105
(413) 736-3225
(413) 736-3382
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD1884
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0362663
—
MA
01
—
0774440001
MEDICARE DMERC
MA
Enumeration date
08/24/2006
Last updated
05/07/2018
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