Organization · Type 2 NPI

Preventive Medicine Associates

Addiction Medicine (Family Medicine) Physician · Wareham, MA

NPI number 1447584800 Active

Practice location

166 Main St
Wareham, MA 02571-4101

Fax (508) 295-2348

Specialties and licenses

Taxonomy	Code	License
Addiction Medicine (Family Medicine) Physician Primary	207QA0401X	None listed

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

NPI record

NPI: 1447584800
Entity type: Organization (Type 2)
Issued: Oct 1, 2009
Last updated: Oct 1, 2009
Status: Active
Subpart: Yes of Preventive Medicine Associates

Other names

<unavail>
Wareham Wellness Center · doing business as

Authorized official

Ms. Mary J Delong, MM, RHIA
Credentialing Manager
(413) 222-7711

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1447584800

Preventive Medicine Associates's National Provider Identifier is 1447584800, issued on Oct 1, 2009. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Wareham, MA. The record was last updated on Oct 1, 2009.