Preventive Medicine Associates
NPI #1659679793 in Roxbury, Massachusetts
Provider Information
- NPI Number
- 1659679793
- 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
- Mar 13, 2011
- Last Updated
- Mar 13, 2011
Practice Location
- Address
- 2201 WASHINGTON ST
- Address 2
- SUITE 302
- City
- Roxbury
- State
- Massachusetts
- ZIP Code
- 02119-3212
- Phone
- (617) 541-8090
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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