DEDHAM MEDICAL ASSOC INC
Allergy and Immunology
Dedham, Massachusetts
Provider NPI: 1992705065
Organization Information:Organization Name: DEDHAM MEDICAL ASSOC INC
Practice Location:
1 LYONS ST DEDHAM, MA 02026 US
Tel: 781-329-1400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1 LYONS ST DEDHAM, MA 02026 US
Tel: 781-329-1400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 207K00000X | Physicians Allergy & Immunology | MA | ========= |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
9766545 | MA | 05 | |
9766561 | MA | 05 | |
9766529 | MA | 05 | |
9766626 | MA | 05 | |
9766634 | MA | 05 | |
9766588 | MA | 05 | |
9766618 | MA | 05 | |
9766553 | MA | 05 | |
9766537 | MA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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