Provider Demographics
NPI:1720270606
Name:HSI DICKIE, BELINDA (MD)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:HSI DICKIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LONGWOOD AVE # FEGAN3
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5724
Mailing Address - Country:US
Mailing Address - Phone:617-355-8664
Mailing Address - Fax:617-730-0477
Practice Address - Street 1:300 LONGWOOD AVE # FEGAN3
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-8664
Practice Address - Fax:617-730-0477
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2661532086S0120X
OH35.0977082086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery