Ko, Dicken Shiu-Chung

Ko, Dicken Shiu-Chung is an individual health care provider with primary practice located at 2 Dudley St Ste 175 , Providence RI 02905-3246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Ko, Dicken Shiu-Chung can be contacted via phone (401) 421-0710.

Contact Information

Primary practice address
2 Dudley St Ste 175 Providence RI 02905-3246
Phone: (401) 421-0710
Fax: (401) 421-0796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 042.0012769 Vermont
Allopathic & Osteopathic Physicians / Urology 208800000X 79821 Massachusetts

Profile Details

NPI number 1083604219
LBN Legal business name Ko, Dicken Shiu-Chung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Mar 6th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083604219 NPPES
Massachusetts Other 079821 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3164845 TUFTS HEALTH PLAN
Massachusetts Other J17470 TUFTS HEALTH PLAN

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