Organization · Type 2 NPI

Preventive Medicine Associates

Addiction Medicine (Family Medicine) Physician · Brighton, MA

NPI number 1962705251 Active

Practice location

9 Henshaw St
Brighton, MA 02135-2905

Fax (617) 782-5801

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.

Another provider at this address

Julia Chang, Od, PCOptometrist Brighton, MA NPI 1326338658

Other addiction medicine (family medicine) physician providers in Brighton

Brighton Family Practice, IncAddiction Medicine (Family Medicine) Physician Brighton, MA NPI 1801804315

See all in Brighton →

NPI record

NPI: 1962705251
Entity type: Organization (Type 2)
Issued: Dec 8, 2010
Last updated: Dec 8, 2010
Status: Active
Subpart: Yes of Preventive Medicine Associates

Other names

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Brighton Family Practice · doing business as

Authorized official

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 1962705251

Preventive Medicine Associates's National Provider Identifier is 1962705251, issued on Dec 8, 2010. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Brighton, MA. The record was last updated on Dec 8, 2010.