Organization
BENJAMIN C DICKERT
Active
Other names
SPRINGFIELD PODIATRY ASSOCIATES, Benjamin C.Dickert
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN C. DICKERT D.P.M. (OWNER)
(413) 736-3225
Entity
Organization
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
—
—
213ES0131X
Foot Surgery Podiatrist
PD1884
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028039
BMC
MA
01
—
00000006878
BMC
MA
01
—
0002099
TUFTS
MA
05
—
0310832
—
MA
05
—
0362662
—
MA
01
—
333305
HARVARD PILGRIM
MA
01
—
33901
HARVARD PILGRIM
MA
01
—
6332349
CIGNA
CT
01
—
7390036
TUFTS
MA
01
—
Y70887
BLUE CROSS
MA
01
—
Y71046
BLUE CROSS
MA
01
—
Y77346
BLUE CROSS GROUP
—
Enumeration date
10/18/2007
Last updated
03/28/2024
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