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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
MA=========

Other Provider Identifiers:

IssuerNumberStateType
9766545MA05
9766561MA05
9766529MA05
9766626MA05
9766634MA05
9766588MA05
9766618MA05
9766553MA05
9766537MA05
Code values:
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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