Organization
PREVENTIVE MEDICINE ASSOCIATES
Active
Other names
Greenfield Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY J DELONG MM, RHIA (CREDENTIALING MANAGER)
(413) 222-7711
Entity
Organization
Contact information
Practice address
5 PARK ST, GREENFIELD, MA 01301-2909
(413) 774-2623
(413) 774-3244
Mailing address
5 PARK ST, GREENFIELD, MA 01301-2909
(413) 774-2623
(413) 774-3244
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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