DEDHAM MEDICAL ASSOC NPI 1316965999

NPI Information

NPI: 1316965999
Provider Name: DEDHAM MEDICAL ASSOC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
ONE LYONS STREET
DEDHAM, MA
ZIP 02026
Phone: (781) 329-1400
Get Directions

DEDHAM MEDICAL ASSOC is a cardiovascular disease internal medicine in Dedham, MA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DEDHAM MEDICAL ASSOC NPI is 1316965999. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

ONE LYONS STREET
DEDHAM, MA
ZIP 02026
Phone: (781) 329-1400
Fax: (781) 278-5667

The provider's authorized official is Richard M Russo .
The authorized official title is Cfo and has the following contact phone number (781) 278-5540.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 7/21/2022.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease		MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	9766588	MEDICAID	MASSACHUSETTS
2	9766634	MEDICAID	MASSACHUSETTS
3	9766537	MEDICAID	MASSACHUSETTS
4	9766545	MEDICAID	MASSACHUSETTS
5	9766553	MEDICAID	MASSACHUSETTS
6	9766596	MEDICAID	MASSACHUSETTS
7	9766618	MEDICAID	MASSACHUSETTS
8	9766626	MEDICAID	MASSACHUSETTS
9	9766529	MEDICAID	MASSACHUSETTS
10	9766561	MEDICAID	MASSACHUSETTS

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

NPI Synchronization or Removal

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