Organization
PREVENTIVE MEDICINE ASSOCIATES
Active
Parent organization
PREVENTIVE MEDICINE ASSOCIATES
Other names
Roxbury Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREVENTIVE MEDICINE ASSOCIATES
Authorized official
MS. MARY J DELONG MM, RHIA (CREDENTIALING MANAGER)
(413) 222-7711
Entity
Organization
Contact information
Practice address
2201 WASHINGTON ST, SUITE 302, ROXBURY, MA 02119-3212
(617) 541-8090
(617) 541-8094
Mailing address
2201 WASHINGTON ST, SUITE 302, ROXBURY, MA 02119-3212
(617) 541-8090
(617) 541-8094
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
03/13/2011
Last updated
03/13/2011
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