ADVANCED ANCILLARY SERVICES PLLC NPI 1689369993

NPI Information

  • NPI: 1689369993
  • Provider Name: ADVANCED ANCILLARY SERVICES PLLC
  • Classification: Physical Medicine & Rehabilitation - 2081S0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Address: 333 ELM STREET
    SUITE 110
    DEDHAM, MA
    ZIP 02026
  • Phone: (781) 316-8830

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NPI Details

ADVANCED ANCILLARY SERVICES PLLC is a sports medicine physical medicine rehabilitation in Dedham, MA. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. ADVANCED ANCILLARY SERVICES PLLC NPI is 1689369993. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

333 ELM STREET
SUITE 110
DEDHAM, MA
ZIP 02026-530
Phone: (781) 316-8830
Fax: (857) 394-3172

The provider's authorized official is Robert L Patz .
The authorized official title is Manager and has the following contact phone number (781) 769-6720.

The enumeration date for this NPI number is 4/11/2023 and was last updated on 4/11/2023.

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
12081S0010XPhysical Medicine & RehabilitationSports 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: 3/30/2025

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