Dedham Medical Assoc Inc

LBN: Dedham Medical Assoc Inc
Dedham Medical Assoc Inc is an health care organization with primary practice located at One Lyons Street , Dedham MA 02026. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, 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
One Lyons Street Dedham MA 02026
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
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X TAX ID Massachusetts

Profile Details

NPI number 1326064312
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 14th, 2006
Last updated Jul 21st, 2022 - about 2 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 1326064312 NPPES
Massachusetts MEDICAID 9766545
Massachusetts MEDICAID 9766588
Massachusetts MEDICAID 9766529
Massachusetts MEDICAID 97666618
Massachusetts MEDICAID 9766537
Massachusetts MEDICAID 9766596
Massachusetts MEDICAID 9766634
Massachusetts MEDICAID 9766561
Massachusetts MEDICAID 9766626
Massachusetts MEDICAID 9766553

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