Doctor Name: | DR. GLEN A DIXON |
NPI Number: | 1861590564 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 48679 |
Business Practice Address: | 3 Woodland Rd Suite 118 Stoneham, MA - 02180 |
Business Phone Number: | 7816627385 |
Business Fax Number: | 7816627526 |
Mailing Address: | 3 Woodland Rd, Suite 118 STONEHAM |
State: | MA |
Postal Code: | 02180 |
Phone Number: | 7816627385 |
Fax Number: | 7816627526 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 10/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 48679 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |