Organization · Type 2 NPI

Preventive Medicine Associates

Addiction Medicine (Family Medicine) Physician · Roxbury, MA

NPI number 1659679793 Active

Practice location

2201 Washington St, Suite 302
Roxbury, MA 02119-3212

Fax (617) 541-8094

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: 1659679793
Entity type: Organization (Type 2)
Issued: Mar 13, 2011
Last updated: Mar 13, 2011
Status: Active
Subpart: Yes of Preventive Medicine Associates

Other names

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Roxbury Wellness Center · doing business as

Authorized official

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

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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.

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About NPI 1659679793

Preventive Medicine Associates's National Provider Identifier is 1659679793, issued on Mar 13, 2011. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Roxbury, MA. The record was last updated on Mar 13, 2011.