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PREVENTIVE MEDICINE ASSOCIATES NPI 1477792851


NPI Information

NPI: 1477792851
Provider Name: PREVENTIVE MEDICINE ASSOCIATES

Doing Business As: QUINCY INTERNATIONAL HEALTH CENTER

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
275 HANCOCK ST
QUINCY, MA
ZIP 02171
Phone: (617) 328-5700
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PREVENTIVE MEDICINE ASSOCIATES is an addiction medicine family medicine in Quincy, MA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. PREVENTIVE MEDICINE ASSOCIATES NPI is 1477792851. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Quincy International Health Center.

The provider's business location address is:

275 HANCOCK ST
QUINCY, MA
ZIP 02171-249
Phone: (617) 328-5700
Fax: (617) 328-5708

The provider's authorized official is Mary J Delong .
The authorized official title is Credentialing Manager and has the following contact phone number (413) 222-7711.

The enumeration date for this NPI number is 2/9/2009 and was last updated on 2/9/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0401XFamily MedicineAddiction MedicineYes

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: 11/14/2023

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