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Organization
DEDHAM MEDICAL ASSOCIATES, INC
Active
Organization
DEDHAM MEDICAL ASSOCIATES, INC
Active
Parent organization
DEDHAM MEDICAL ASSOCIATES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEDHAM MEDICAL ASSOCIATES, INC
Authorized official
SUSAN KERNAN (CREDENTIALING REP)
(781) 278-5511
Entity
Organization
Contact information
Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
(781) 329-8470
Mailing address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
(781) 329-8470
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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