National Provider Identifier Database

DEDHAM MEDICAL ASSOCIATE
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

DEDHAM MEDICAL ASSOCIATE
1 LYONS STREET
DEDHAM, MA02026
Phone: 781-329-1400
Fax: 781-278-5667
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for DEDHAM MEDICAL ASSOCIATE

NPI Number 1063430643
Legal business name
LBN
DEDHAM MEDICAL ASSOCIATE
Authorized official RICHARD RUSSO - (CFO)
Entity Organization
Organization subpart No
Enumeration date 07/18/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 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

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.

Reviews for DEDHAM MEDICAL ASSOCIATE

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