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PREVENTIVE MEDICINE ASSOCIATES NPI 1871759498


NPI Information

NPI: 1871759498
Provider Name: PREVENTIVE MEDICINE ASSOCIATES

Doing Business As: BOSTON FAMILY PRACTICE

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
59 TEMPLE PL
SUITE 664
BOSTON, MA
ZIP 02111
Phone: (617) 542-7860
Get Directions

PREVENTIVE MEDICINE ASSOCIATES is an addiction medicine family medicine in Boston, MA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. PREVENTIVE MEDICINE ASSOCIATES NPI is 1871759498. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Boston Family Practice.

The provider's business location address is:

59 TEMPLE PL
SUITE 664
BOSTON, MA
ZIP 02111-307
Phone: (617) 542-7860

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 8/3/2008 and was last updated on 8/3/2008.


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
1207QA0401XFamily MedicineAddiction 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: 11/14/2023

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