PREVENTIVE MEDICINE ASSOCIATES NPI 1659679793

NPI Information

PREVENTIVE MEDICINE ASSOCIATES is an addiction medicine family medicine in Roxbury, MA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. PREVENTIVE MEDICINE ASSOCIATES NPI is 1659679793. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Roxbury Wellness Center.

The provider's business location address is:

2201 WASHINGTON ST
SUITE 302
ROXBURY, MA
ZIP 02119-212
Phone: (617) 541-8090
Fax: (617) 541-8094

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 3/13/2011 and was last updated on 3/13/2011.

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:

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.