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Contact Information

PATRICIA A DYKSTRA, MD
597 MERRIMACK ST
LOWELL COMMUNITY HEALTH CENTER
LOWELL, MA01854
 Phone: 978-937-9700
 Fax: 978-446-9830
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PATRICIA A DYKSTRA · (Female)

NPI Number 1851365035
Status Active
Credentials MD
Entity Individual
Enumeration date 02/15/2006
Last updated 07/30/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 77409
  • MA Medicaid 1305557
  • Other 3437455 AETNA
  • Other 042881348 BEECH STREET
  • Other J14028 BLUE CROSS BLUE SHIELD
  • Other 042881348 CHOICECARE
  • Other 6469876 CIGNA
  • Other 22397 FALLON
  • Other 204699 HARVARD PILGRIM HLTH CARE
  • Other 1339 NEIGHBORHOOD HEALTH PLAN
  • Other 979892 NETWORK HEALTH
  • Other 042881348 ONE HEALTH
  • Other 731688 TUFTS
  • Other 9204204 UNITED HEALTH CARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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