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DEDHAM MEDICAL ASSOC INC NPI 1013942390


NPI Information

NPI: 1013942390
Provider Name: DEDHAM MEDICAL ASSOC INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
ONE LYONS STREET
DEDHAM, MA
ZIP 02026
Phone: (781) 329-1400
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DEDHAM MEDICAL ASSOC INC is a podiatrist in Dedham, MA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DEDHAM MEDICAL ASSOC INC NPI is 1013942390. 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 7/12/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristMASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19766529MEDICAIDMASSACHUSETTS
29766545MEDICAIDMASSACHUSETTS
39766553MEDICAIDMASSACHUSETTS
49766588MEDICAIDMASSACHUSETTS
59766596MEDICAIDMASSACHUSETTS
69766618MEDICAIDMASSACHUSETTS
79766626MEDICAIDMASSACHUSETTS
89766537MEDICAIDMASSACHUSETTS
99766561MEDICAIDMASSACHUSETTS
109766634MEDICAIDMASSACHUSETTS

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: 4/28/2024

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