Preventive Medicine Associates
NPI #1629302112 in West Roxbury, Massachusetts
Provider Information
- NPI Number
- 1629302112
- Entity Type
- Organization
- Organization Name
- Preventive Medicine Associates
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PREVENTIVE MEDICINE ASSOCIATES
- Primary Specialty
- Family Medicine - Addiction Medicine
- Enumeration Date
- Sep 30, 2009
- Last Updated
- Sep 30, 2009
Practice Location
- Address
- 1208B VFW PKWY
- Address 2
- SUITE 305
- City
- West Roxbury
- State
- Massachusetts
- ZIP Code
- 02132-4349
- Phone
- (617) 477-8294
Authorized Official
- Name
- MS. MARY J DELONG, MM,RHIA
- Title
- CREDENTIALING MANAGER
- Phone
- (413) 222-7711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Addiction Medicine — Addiction Medicine |
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