| NPI | 1336363217 |
|---|---|
| Other Name | PREVENTIVE MEDICINE ASSOC. INC. |
| Entity Type | Organization |
| Authorized Contact | CHERYL A CHURCH Office Manager 617-447-2146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |