Organization Name: | PREVENTIVE MEDICINE ASSOCIATES |
NPI Number: | 1013173285 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY J DELONG (CREDENTIALILNG MANAGER) |
Mailing Address: | 69 E Main St Norton |
State: | MA US |
Postal Code: | 027662307 |
Phone Number: | 8007701904 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2008 |
NPI Last Update Date: | 08/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0401X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |