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NPI Code Detail

MEDICARE: DR. MARCO P DIRKS M.D.

MEDICARE: DR. MARCO P DIRKS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician150536MA
2207XS0106XOrthopaedic Hand Surgery Physician150536MA
3207X00000XOrthopaedic Surgery PhysicianMD09246RI
4207XS0106XOrthopaedic Hand Surgery PhysicianMD09246RI

General Provider Information

NPI Number : 1033166764
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARCO P DIRKS M.D.
Provider Business Mailing Address
First Line : 281 COUNTY ST
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-3511
Country : US
Telephone Number : 508-226-2213
Fax Number :
Provider Business Practice Location Address
First Line : 281 COUNTY ST
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-3511
Country : US
Telephone Number : 508-226-2213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2006
Last Update Date : 12/04/2013

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Directions to “ DR. MARCO P DIRKS M.D.” Practice Location

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