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Organization
PERSONALIZED PREVENTIVE MEDICINE INC
Active
Organization
PERSONALIZED PREVENTIVE MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M DELANY M.D. (M.D., F.A.C.C)
(617) 698-0715
Entity
Organization
Contact information
Practice address
2 REEDSDALE RD, MILTON, MA 02186-3324
(617) 698-0715
(617) 698-7559
Mailing address
2 REEDSDALE RD, MILTON, MA 02186-3324
(617) 698-0715
(617) 698-7559
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
44038
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BB97278
BB UPIN
MA
01
—
C15079
BCBS
MA
Enumeration date
10/01/2009
Last updated
09/01/2010
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