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1881694958
DEDHAM MEDICAL ASSOC INC
DEDHAM, MA
NPI
1881694958
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Entity Type
Organization
Authorized Contact
RICHARD M RUSSO
CFO
781-278-5540
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2005-07-29
Last Update Date
2022-07-21
Business Address
DEDHAM MEDICAL ASSOC INC
1 LYONS ST
DEDHAM, MA 02026-5599
Phone number: 781-329-1400
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Mailing Address
DEDHAM MEDICAL ASSOC INC
PO BOX 9120
DEDHAM, MA 02027-9120
Phone number: 781-329-1400
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