Provider Demographics
NPI:1295989150
Name:VAN DIJK, ASHLEIGH HEGEDUS (MD)
Entity type:Individual
Prefix:DR
First Name:ASHLEIGH
Middle Name:HEGEDUS
Last Name:VAN DIJK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ASHLEIGH
Other - Middle Name:HOLOKA
Other - Last Name:HEGEDUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:123 SUMMER ST
Mailing Address - Street 2:ST VINCENT HOSPITAL EMERGENCY DEPARTMENT
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1216
Mailing Address - Country:US
Mailing Address - Phone:508-363-6025
Mailing Address - Fax:617-754-2350
Practice Address - Street 1:123 SUMMER ST
Practice Address - Street 2:ST VINCENT HOSPITAL EMERGENCY DEPARTMENT
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1216
Practice Address - Country:US
Practice Address - Phone:508-363-6025
Practice Address - Fax:617-754-2350
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA243493207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine