Organization · Type 2 NPI

Preventive Medicine Associates

Addiction Medicine (Family Medicine) Physician · Falmouth, MA

NPI number 1689900565 Active

Practice location

322 Gifford St
Falmouth, MA 02540

Fax (508) 457-9901

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: 1689900565
Entity type: Organization (Type 2)
Issued: Oct 27, 2009
Last updated: Oct 27, 2009
Status: Active
Subpart: Yes of Preventive Medicine Associates

Other names

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Falmouth Family Practice · 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 1689900565

Preventive Medicine Associates's National Provider Identifier is 1689900565, issued on Oct 27, 2009. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Falmouth, MA. The record was last updated on Oct 27, 2009.