Dedham Medical Assoc Inc

LBN: Dedham Medical Assoc Inc
Dedham Medical Assoc Inc is an health care organization with primary practice located at 1 Lyons St , Dedham MA 02026-5599. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Dedham Medical Assoc Inc can be contacted via phone (781) 329-1400, or through Russo, Richard M via phone (781) 278-5540.

Contact Information

Primary practice address
1 Lyons St Dedham MA 02026-5599
Phone: (781) 329-1400
Fax: (781) 278-5667
Website:
Map and Directions
Authorized official contact:
Name: Russo, Richard M
Phone: (781) 278-5540

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Massachusetts

Profile Details

NPI number 1881694958
LBN Legal business name Dedham Medical Assoc Inc
DBA Doing business as
Authorized official Russo, Richard M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881694958 NPPES
Massachusetts MEDICAID 9766454
Massachusetts MEDICAID 9766529
Massachusetts MEDICAID 9766537
Massachusetts MEDICAID 9766634
Massachusetts MEDICAID 9766545
Massachusetts MEDICAID 9766588
Massachusetts MEDICAID 9766561
Massachusetts MEDICAID 9766553
Massachusetts MEDICAID 9766596
Massachusetts MEDICAID 9766618
Massachusetts MEDICAID 9766626

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