DEDHAM MEDICAL ASSOCIATES INC NPI 1780684860

NPI Information

  • NPI: 1780684860
  • Provider Name: DEDHAM MEDICAL ASSOCIATES INC
  • Classification: Surgery - 208600000X
  • 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 surgery in Dedham, MA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DEDHAM MEDICAL ASSOCIATES INC NPI is 1780684860. 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 7/29/2005 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryMASSACHUSETTSYes

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
19766537MEDICAIDMASSACHUSETTS
29766553MEDICAIDMASSACHUSETTS
39766588MEDICAIDMASSACHUSETTS
49766596MEDICAIDMASSACHUSETTS
59766634MEDICAIDMASSACHUSETTS
69766529MEDICAIDMASSACHUSETTS
79766618MEDICAIDMASSACHUSETTS
89766561MEDICAIDMASSACHUSETTS
99766545MEDICAIDMASSACHUSETTS
109766626MEDICAIDMASSACHUSETTS

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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