| Organization Name: | DEDHAM MEDICAL ASSOC INC |
| NPI Number: | 1902806078 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD M RUSSO (CFO) |
| Mailing Address: | 1 Lyons St Dedham |
| State: | MA US |
| Postal Code: | 020265599 |
| Phone Number: | 7813291400 |
| Fax Number: | 7812785667 |
| NPI Enumeration Date: | 07/29/2005 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |