| NPI | 1982072153 |
|---|---|
| Doing Business As | DEDHAM MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DANIEL BURNES Interim Chief Executive Officer 617-559-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |