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ROOT FAMILY MEDICINE PC NPI 1346625985


NPI Information

NPI: 1346625985
Provider Name: ROOT FAMILY MEDICINE PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 22D2103812

Address:
3 EDGEWATER DR STE 102
NORWOOD, MA
ZIP 02062
Phone: (774) 221-7697
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ROOT FAMILY MEDICINE PC is a family medicine in Norwood, MA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ROOT FAMILY MEDICINE PC NPI is 1346625985. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3 EDGEWATER DR STE 102
NORWOOD, MA
ZIP 02062-644
Phone: (774) 221-7697
Fax: (781) 352-2274

The provider's authorized official is Sarah Byrne .
The authorized official title is Owner/medical Director and has the following contact phone number (508) 928-7668.

The CLIA number assigned to this NPI record is 22D2103812 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2015 and was last updated on 9/28/2023.


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
1207Q00000XFamily 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: 5/5/2024

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