# PREVENTIVE MEDICINE ASSOCIATES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PREVENTIVE MEDICINE ASSOCIATES
- **Other names:** National Health Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033358411
- **Legal business name:** PREVENTIVE MEDICINE ASSOCIATES
- **Authorized official:** MS. MARY J DELONG MM, RHIA (CREDENTIALING MANAGER)
- **Authorized official phone:** (413) 222-7711

## Contact information

- **Practice address:** 1842 BEACON ST, STE 203, BROOKLINE, MA 02445-1930
- **Practice address phone:** (617) 383-6025
- **Practice address fax:** (617) 383-6031
- **Mailing address:** 1842 BEACON ST, STE 203, BROOKLINE, MA 02445-1930
- **Mailing address phone:** (617) 383-6025
- **Mailing address fax:** (617) 383-6031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2009
- **Last updated:** 02/09/2009