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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACY DICKERSON, PA

Active

TRACY DICKERSON, PA is a Physician Assistant healthcare provider located in DORCHESTER CENTER, Massachusetts. NPI 1356570634 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · DORCHESTER CENTER, MA

Registration Details

NPI Number
1356570634
Provider Type
Individual
Gender
Female
NPI Issued
Jul 8, 2009 (17.097587881104 yrs)
Last Updated
Apr 13, 2010
License
215 (MA)

Practice Information

Address
2100 DORCHESTER AVE
DEPT. OF SURGERY
DORCHESTER CENTER, MA, 021245615
Browse MA providers · Browse ZIP 02124
Phone
6172964000
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in DORCHESTER CENTER, MA

Name Credential NPI
MS. VAISHALI T HARMA PA-C 1750354577
VANRIA V IYAMU 1174645808
JULIEANNE P GOODRICH PA 1831422245
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.