Healthcare Provider Details

I. General information

NPI: 1346237674
Provider Name (Legal Business Name): JANET D PEARL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. JANET DICKERMAN

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 03/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 WORCESTER RD STE 301
FRAMINGHAM MA
01702-5316
US

IV. Provider business mailing address

600 WORCESTER RD STE 301
FRAMINGHAM MA
01702-5316
US

V. Phone/Fax

Practice location:
  • Phone: 508-665-4344
  • Fax: 508-665-4355
Mailing address:
  • Phone: 508-665-4344
  • Fax: 508-665-4355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number156037
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number156037
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: