Organization
PREVENTIVE MEDICINE ASSOCIATES
Active
Parent organization
PREVENTIVE MEDICINE ASSOCIATES
Other names
Brighton Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREVENTIVE MEDICINE ASSOCIATES
Authorized official
MARY J DELONG MM, RHIA (CREDENTIALING MANAGER)
(413) 222-7711
Entity
Organization
Contact information
Practice address
9 HENSHAW ST, BRIGHTON, MA 02135-2905
(617) 782-5800
(617) 782-5801
Mailing address
9 HENSHAW ST, BRIGHTON, MA 02135-2905
(617) 782-5800
(617) 782-5801
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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