Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 4656 | MA |
Y | 103TC0700X | Clinical Psychologist | 4656 | MA |
NPI | 1013077593 |
---|---|
Provider Name | Dr. Frank Eliot Dalgin |
First Address | Norwood, MA 02062-5229 |
Second Address | Norwood, MA 02062-5229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 06/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0522244 | (05) | MA |
W04474 | BCBS (01) |