Provider Type Icon

PREVENTIVE MEDICINE ASSOCIATES NPI 1922247303


NPI Information

NPI: 1922247303
Provider Name: PREVENTIVE MEDICINE ASSOCIATES

Doing Business As: QUINCY FAMILY PRACTICE

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
59 CODDINGTON ST
STE 103
QUINCY, MA
ZIP 02169
Phone: (617) 328-5700
Get Directions

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 1922247303. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Quincy Family Practice.

The provider's business location address is:

59 CODDINGTON ST
STE 103
QUINCY, MA
ZIP 02169-510
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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.