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1538151832

NPI Code Detail

MEDICARE: THOMAS B DICKSON MD

MEDICARE: THOMAS B DICKSON MD

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
1	207X00000X	Orthopaedic Surgery Physician	MD009404E	PA
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	MD009404E	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	200009504	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	019360	OTHER	PA	KEYSTONE CENTRAL
2	P975753	OTHER	PA	OXFORD
3	18864	OTHER	PA	GEISINGER
4	0040119000	OTHER	PA	KEYSTONE EAST
5	019360	OTHER	PA	BLUE SHIELD
6	01189301	OTHER	PA	BLUE CROSS
7	4270763	OTHER	PA	AETNA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	231857130	OTHER	PA	DEVON
11	019360	OTHER	PA	AMERIHEALTH ADMIN
12	821239	OTHER	PA	FIRST PRIORITY HEALTH

General Provider Information

NPI Number	:	1538151832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS B DICKSON MD

Provider Business Mailing Address
First Line	:	250 CETRONIA RD
Second Line	:	SUITE 303
City	:	ALLENTOWN
State	:	PA
Zip	:	18104-9168
Country	:	US
Telephone Number	:	610-973-6200
Fax Number	:	610-973-6546

Provider Business Practice Location Address
First Line	:	250 CETRONIA ROAD
Second Line	:	SUITE 100
City	:	ALLENTOWN
State	:	PA
Zip	:	18104-9168
Country	:	US
Telephone Number	:	610-973-6200
Fax Number	:	610-973-6546

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	06/13/2008

Similar Medicare Providers

1801888987 — ORTHOPAEDIC ASSOCIATES OF ALLENTOWN
Practice Location Address:

250 CETRONIA ROAD , SUITE 303
ALLENTOWN, PA
18104-9168

Practice Phone: 610-973-6200
Practice Fax: 610-973-6546

1922090893 — JAMES C. WEIS MD
Practice Location Address:

250 CETRONIA ROAD , SUITE 303
ALLENTOWN, PA
18104-9168

Practice Phone: 610-973-6200
Practice Fax: 610-973-6546

1376535245 — JAY S. TALSANIA MD
Practice Location Address:

250 CETRONIA ROAD , SUITE 303
ALLENTOWN, PA
18104-9168

Practice Phone: 610-973-6200
Practice Fax: 610-973-6546

1740272434 — PAUL F POLLICE MD
Practice Location Address:

250 CETRONIA ROAD , SUITE 303
ALLENTOWN, PA
18104-9168

Practice Phone: 610-973-6200
Practice Fax: 610-973-6546

1366434052 — PATRICK J. MCDAID MD
Practice Location Address:

250 CETRONIA ROAD , SUITE 303
ALLENTOWN, PA
18104-9168

Practice Phone: 610-973-6200
Practice Fax: 610-973-6546

1124010491 — ROBERT C. PALUMBO MD
Practice Location Address:

250 CETRONIA ROAD , SUITE 303
ALLENTOWN, PA
18104-9168

Practice Phone: 610-973-6200
Practice Fax: 610-973-6546

Directions to “ THOMAS B DICKSON MD” Practice Location

Language	Start Address	Practice Location

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