Organization · Type 2 NPI

Preventive Medicine Associates

Addiction Medicine (Family Medicine) Physician · Taunton, MA

NPI number 1962641159 Active

Practice location

63 Winthrop St, # C1, C2
Taunton, MA 02780-6218

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.

9 other providers at this address

NPI record

NPI: 1962641159
Entity type: Organization (Type 2)
Issued: Feb 11, 2009
Last updated: Feb 11, 2009
Status: Active
Subpart: Yes of Preventive Medicine Associates

Other names

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Taunton 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 1962641159

Preventive Medicine Associates's National Provider Identifier is 1962641159, issued on Feb 11, 2009. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Taunton, MA. The record was last updated on Feb 11, 2009.