DEDHAM MEDICAL ASSOC INC NPI 1184624256

NPI Information

  • NPI: 1184624256
  • Provider Name: DEDHAM MEDICAL ASSOC INC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Address: 1 LYONS ST
    DEDHAM, MA
    ZIP 02026
  • Phone: (781) 329-1400

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NPI Details

DEDHAM MEDICAL ASSOC INC is an endocrinology and diabetes and metabolism internal medicine in Dedham, MA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DEDHAM MEDICAL ASSOC INC NPI is 1184624256. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 LYONS ST
DEDHAM, MA
ZIP 02026-599
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) 927-8554.

The enumeration date for this NPI number is 7/29/2005 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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismMASSACHUSETTSYes

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 Other Provider Identifier Issuer
19766529MEDICAIDMASSACHUSETTS
29766537MEDICAIDMASSACHUSETTS
39766553MEDICAIDMASSACHUSETTS
49766588MEDICAIDMASSACHUSETTS
59766596MEDICAIDMASSACHUSETTS
69766561MEDICAIDMASSACHUSETTS
79766626MEDICAIDMASSACHUSETTS
89766634MEDICAIDMASSACHUSETTS
99766545MEDICAIDMASSACHUSETTS
109766618MEDICAIDMASSACHUSETTS

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: 11/21/2025

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