Individual
JANET B DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
199 W MAIN ST, MERIDEN, CT 06451-4024
(203) 237-9445
(203) 639-8734
Mailing address
199 W MAIN ST, MERIDEN, CT 06451-4024
(203) 237-9445
(203) 639-8734
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
024578
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001245786
—
CT
01
—
010024578CT01
BCBS
—
01
—
083105
AETNA
—
01
—
0V0177
HEALTH NET
—
01
—
4124110
AETNA
—
01
—
530546
AETNA
—
01
—
724578
CT CARE
—
01
—
P2639819
OXFORD
—
Enumeration date
09/12/2005
Last updated
12/21/2009
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