DEDHAM MEDICAL ASSOC - NPI 1316965999 - Internal Medicine in Dedham, MA

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

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About Dedham Medical Assoc NPPES

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

DEDHAM MEDICAL ASSOC (NPI 1316965999) is a healthcare organization registered as a cardiovascular disease 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

NPI1316965999

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameDEDHAM MEDICAL ASSOC

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 18, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1316965999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

ONE LYONS STREET, Dedham, MA 02026

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Other Identifiers 10

Medicaid9766588MA

Medicaid9766634MA

Medicaid9766537MA

Medicaid9766545MA

Medicaid9766553MA

Medicaid9766596MA

Medicaid9766618MA

Medicaid9766626MA

Medicaid9766529MA

Medicaid9766561MA

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