DEDHAM MEDICAL ASSOC INC
NPI 1013942390
Podiatrist in Dedham, MA

Q: What is Dedham Medical Assoc Inc's NPI number?

The NPI number for Dedham Medical Assoc Inc is 1013942390. It was assigned to this organization in the NPPES registry on July 12, 2006.

Q: What is Dedham Medical Assoc Inc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since July 12, 2006

ONE LYONS STREET, DEDHAM, MA 02026(781) 329-1400(781) 278-5667 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

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About Dedham Medical Assoc Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEDHAM MEDICAL ASSOC INC (NPI 1013942390) is a healthcare organization registered as a podiatrist in Dedham, Massachusetts and active in the NPI registry since July 2006. The organization lists Richard M Russo, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013942390

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameDEDHAM MEDICAL ASSOC INC

Location AddressONE LYONS STREETDedham, MA 02026

Mailing AddressPo Box 9120Dedham, MA 02027-9120 · (781) 329-1400 · Fax (781) 278-5667

Phone(781) 329-1400

Fax(781) 278-5667

Organization SubpartNo

Authorized OfficialRichard M RussoCfo · (781) 278-5540

Enumeration DateJuly 12, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1013942390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

ONE LYONS STREET, Dedham, MA 02026

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Other Identifiers 10

Medicaid9766529MA

Medicaid9766545MA

Medicaid9766553MA

Medicaid9766588MA

Medicaid9766596MA

Medicaid9766618MA

Medicaid9766626MA

Medicaid9766537MA

Medicaid9766561MA

Medicaid9766634MA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEFANIE WONG DDS

Dentist (General Practice)