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Contact Information

DEDHAM MEDICAL ASSOCIATE
1 LYONS STREET
DEDHAM, MA02026
 Phone: 781-329-1400
 Fax: 781-278-5667
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for DEDHAM MEDICAL ASSOCIATE · (Female)

NPI # 1063430643
Status Active
Credentials
Entity Individual
Enumeration date 07/18/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 9766529
  • MA Medicaid 9766537
  • MA Medicaid 9766545
  • MA Medicaid 9766553
  • MA Medicaid 9766561
  • MA Medicaid 9766588
  • MA Medicaid 9766596
  • MA Medicaid 9766618
  • MA Medicaid 9766626
  • MA Medicaid 9766634
  • MA Medicaid M11531
  • MA Medicaid M12735
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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