Preventive Medicine Associates

LBN: Preventive Medicine Associates
Preventive Medicine Associates is an health care organization with primary practice located at 11 Kent St , Brookline MA 02445-7901. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Preventive Medicine Associates can be contacted via phone (617) 383-6405, or through Kishore, Punyamurtula via phone (617) 383-6567.

Contact Information

Primary practice address
11 Kent St Brookline MA 02445-7901
Phone: (617) 383-6405
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kishore, Punyamurtula Doctor of Medicine (MD)
Phone: (617) 383-6567

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X

Profile Details

NPI number 1962451591
LBN Legal business name Preventive Medicine Associates
DBA Doing business as
Authorized official Kishore, Punyamurtula Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated May 22nd, 2008 - about 16 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 1962451591 NPPES
Massachusetts MEDICAID 9772898

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