Most Relevant Information
Provider Data
| NPI Number: | 1003577701 |
| Provider Name: | DIMITRI ALDOPHE |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/04/2022 |
| Last Updated: | 01/04/2022 |
Provider Practice Location
280 BRIDGE ST
DEDHAM
MA
020261759
Practice Location Phone/Fax
| Phone: | 7818193562 |
| Fax: |
Provider Mailing Location
280 BRIDGE ST
DEDHAM
MA
020261759
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |