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Organization

ADVANCED ANCILLARY SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT L PATZ M.D. (MANAGER)
(781) 769-6720
Entity
Organization

Contact information

Practice address
333 ELM STREET, SUITE 110, DEDHAM, MA 02026-4530
(781) 316-8830
(857) 394-3172
Mailing address
333 ELM STREET, SUITE 110, DEDHAM, MA 02026-4530
(781) 316-8830
(857) 394-3172

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
04/11/2023
Last updated
04/11/2023
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