# PERSONALIZED PREVENTIVE MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447584859
- **Authorized official:** DR. RICHARD M DELANY M.D. (M.D., F.A.C.C)
- **Authorized official phone:** (617) 698-0715

## Contact information

- **Practice address:** 2 REEDSDALE RD, MILTON, MA 02186-3324
- **Practice address phone:** (617) 698-0715
- **Practice address fax:** (617) 698-7559
- **Mailing address:** 2 REEDSDALE RD, MILTON, MA 02186-3324
- **Mailing address phone:** (617) 698-0715
- **Mailing address fax:** (617) 698-7559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 44038 | MA | Yes |

## Other

- **Enumeration date:** 10/01/2009
- **Last updated:** 09/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | BB97278 | BB UPIN | MA |
| 01 | — | C15079 | BCBS | MA |