Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK WADE DICKINSON, MD
ActivePediatrics · BOSTON, MA
Registration Details
- NPI Number
- 1154320059
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2005 (20.75148499446 yrs)
- Last Updated
- Aug 12, 2009
- Licenses
-
230380 (MA)230380 (MA)230380 (MA)
Practice Information
- Address
-
388 COMMONWEALTH AVEMGH BACK BAYBOSTON, MA, 022152800Browse MA providers · Browse ZIP 02215
- Phone
- 6172677171
- Fax
- 6172622608
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Hospitalist
Other Pediatrics Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| DR. BARRY GRANT ZALLEN | M.D. | 1588667539 |
| DR. VARUNA TULI | MD | 1558355818 |
| ANNE STACIE COLWELL | MD | 1417942053 |
| ALAN F MEYERS | MD | 1215925391 |
| STEVE M TJOE-FAT | MD | 1972592897 |
| JOHN S MAYPOLE | MD | 1356330476 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.