DEDHAM MEDICAL ASSOCIATES INC NPI 1720005234

NPI Information

  • NPI: 1720005234
  • Provider Name: DEDHAM MEDICAL ASSOCIATES INC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 1 LYONS ST
    DEDHAM, MA
    ZIP 02026
  • Phone: (781) 329-1400

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NPI Details

DEDHAM MEDICAL ASSOCIATES INC is a gastroenterology internal medicine in Dedham, MA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DEDHAM MEDICAL ASSOCIATES INC NPI is 1720005234. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 LYONS ST
DEDHAM, MA
ZIP 02026-599
Phone: (781) 329-1400
Fax: (781) 278-5664

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 7/17/2006 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
1207RG0100XInternal MedicineGastroenterologyMASSACHUSETTSYes

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
19766618MEDICAIDMASSACHUSETTS
29766634MEDICAIDMASSACHUSETTS
39766537MEDICAIDMASSACHUSETTS
49766545MEDICAIDMASSACHUSETTS
59766626MEDICAIDMASSACHUSETTS
69766553MEDICAIDMASSACHUSETTS
79766561MEDICAIDMASSACHUSETTS
89766529MEDICAIDMASSACHUSETTS
99766588MEDICAIDMASSACHUSETTS
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: 11/21/2025

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