Dickerman Hollister
Medical Oncology
77 Lafayette Pl
Greenwich
, Connecticut 06830-5426
Dickerman Hollister
Medical Oncology
77 Lafayette Pl
Greenwich
, Connecticut 06830-5426
(203) 863-3741
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Dickerman Hollister
- 77 Lafayette Pl
- Greenwich, CT
- Zip : 06830-5426
- Fax : (203) 863-3741
- Phone : (203) 863-3737
Second Address
- Dickerman Hollister
- 77 Lafayette Pl
- Greenwich, CT
- Zip : 06830-5426
- Fax : (203) 863-3741
- Phone : (203) 863-3737
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | 022791 | CT |
National Provider Identifier
| NPI | 1063420669 |
|---|---|
| Provider Name | Dickerman Hollister |
| First Address | Greenwich, CT 06830-5426 |
| Second Address | Greenwich, CT 06830-5426 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C59736 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.