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DEDHAM MEDICAL ASSOCIATES NPI 1457351520


NPI Information

NPI: 1457351520
Provider Name: DEDHAM MEDICAL ASSOCIATES
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1 LYONS ST
DEDHAM, MA
ZIP 02026
Phone: (781) 329-1400
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DEDHAM MEDICAL ASSOCIATES is an ophthalmology in Dedham, MA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DEDHAM MEDICAL ASSOCIATES NPI is 1457351520. 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) 278-5540.

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyMASSACHUSETTSYes

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
19766545MEDICAIDMASSACHUSETTS
29766561MEDICAIDMASSACHUSETTS
39766626MEDICAIDMASSACHUSETTS
49766537MEDICAIDMASSACHUSETTS
59766553MEDICAIDMASSACHUSETTS
69766634MEDICAIDMASSACHUSETTS
79766529MEDICAIDMASSACHUSETTS
89766588MEDICAIDMASSACHUSETTS
99766618MEDICAIDMASSACHUSETTS
109766596MEDICAIDMASSACHUSETTS

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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