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GREATER BOSTON WELLNESS PHYSICIANS NPI 1235514795


NPI Information

NPI: 1235514795
Provider Name: GREATER BOSTON WELLNESS PHYSICIANS
Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

CLIA Number: 22D1063493

Address:
200 PROVIDENCE HWY
DEDHAM, MA
ZIP 02026
Phone: (781) 326-1464
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GREATER BOSTON WELLNESS PHYSICIANS is a preventive medicine/occupational environmental medicine preventive medicine in Dedham, MA. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. GREATER BOSTON WELLNESS PHYSICIANS NPI is 1235514795. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 PROVIDENCE HWY
DEDHAM, MA
ZIP 02026-881
Phone: (781) 326-1464
Fax: (781) 326-9075

The provider's authorized official is Dennis Teehan .
The authorized official title is Owner and has the following contact phone number (781) 326-1464.

The CLIA number assigned to this NPI record is 22D1063493 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2015 and was last updated on 8/11/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental Medicine250272MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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