Active NPIIndividual provider

Dr. Michelle L Dyke, MD

Internal Medicine in Medford, Massachusetts

NPI Number1790123347
Practice location
137 Main St, Medford, MA 02155-4522
Fax
781-395-5081
Last updated
October 18, 2024

Michelle L Dyke is an Internal Medicine based in Medford, MA. Michelle L Dyke practices in Medford, MA and has the professional credentials of MD. The NPI Number for Michelle L Dyke is 1790123347 and holds a License No. 269619 (MA). The current practice location address for Michelle L Dyke is 137 Main St, Medford, MA 02155-4522 and can be reached out via phone at 781-395-4761 and via fax at 781-395-5081.

Provider Profile Details

NPI Number
1790123347
Provider Name
Michelle L Dyke
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
137 Main St, Medford, MA 02155-4522
Phone Number
781-395-4761
Fax Number
781-395-5081
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
June 5, 2013
Last Update Date
October 18, 2024
Certification Date
October 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
137 Main St
Medford, MA 02155-4522
Zip
02155-4522
Phone Number
781-395-4761
Fax Number
781-395-5081
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
137 Main St
Medford, MA 02155-4522
City
Medford
State
MA
Zip
02155-4522
Phone Number
781-395-4761
Fax Number
781-395-5081

License Information

License Number (1)
269619
License State (1)
MA
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
269619
License State (2)
MA
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Michelle L Dyke, MD?

The NPI number of Dr. Michelle L Dyke, MD is 1790123347. It was assigned on June 5, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Michelle L Dyke, MD?

Dr. Michelle L Dyke, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 269619.

Where does Dr. Michelle L Dyke, MD practice?

The practice location is 137 Main St, Medford, MA 02155-4522. The office can be reached at 781-395-4761 (phone) or 781-395-5081 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790123347 directly on the NPPES registry website.

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