Individual
DR. MINDY J DICKERMAN
Active
Individual
DR. MINDY J DICKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
C1-0012274
DE
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
25MA10175300
NJ
2080P0203X
Pediatric Critical Care Medicine Physician
MD437867
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113329
—
IL
Enumeration date
09/07/2005
Last updated
10/08/2024
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