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Contact Information

PREVENTIVE MEDICINE ASSOCIATES
1842 BEACON ST
BROOKLINE, MA02445-1930
 Phone: 617-278-1478
 Fax: 617-278-1471
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for PREVENTIVE MEDICINE ASSOCIATES

NPI Number 1376782466
LBN Legal business name PREVENTIVE MEDICINE ASSOCIATES
Authorized official MARY DELONG - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2009
Last updated 02/12/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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