NPI 1881076560

Dike Kenneth

Organisation Point of Service Stoughton, MA

Practice location

Address: 15 Bergeron Way, Stoughton, MA 02072-1392
Phone: (508) 631-8222
Mailing address: 15 Bergeron Way, Stoughton, MA 02072

Authorised official

Name: Kenneth David Dike
Title: Lpn
Phone: (508) 631-8222

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Massachusetts →

Registry record

NPI: 1881076560
Entity type: Organization
NPI issued: 18 Jun 2015
Record last updated: 18 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.