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Organization

BENJAMIN C. DICKERT

Active
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Organization

BENJAMIN C. DICKERT

Active
Parent organization
BENJAMIN DICKERT
Organization subpart
Yes

Provider details

NPI number
Legal business name
BENJAMIN DICKERT
Authorized official
BENJAMIN CHARLES DICKERT D.P.M. (OWNER)
(413) 736-3225
Entity
Organization

Contact information

Practice address
780 CHESTNUT ST, SUITE 8, SPRINGFIELD, MA 01107-1637
(413) 736-3225
(413) 736-3382
Mailing address
780 CHESTNUT ST, SUITE 8, SPRINGFIELD, MA 01107-1637
(413) 736-3225
(413) 736-3382

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1884
MA

Other

Enumeration date
08/24/2016
Last updated
08/24/2016
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