Basic Information
| Provider Information | |||||||||
| NPI: | 1790125045 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DIXIT | ||||||||
| FirstName: | VIDYA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9 INDUSTRIAL RD STE 5 | ||||||||
| Address2: | |||||||||
| City: | MILFORD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 017573736 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5084731480 | ||||||||
| FaxNumber: | 5084732709 | ||||||||
| Practice Location | |||||||||
| Address1: | 1280 W CENTRAL ST STE 301 | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020383110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 0852827005 | ||||||||
| FaxNumber: | 5085285759 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2013 | ||||||||
| LastUpdateDate: | 04/07/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 256335 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.