Preventive Medicine Associates in Brookline - Addiction Medicine
Preventive Medicine Associates - NPI 1962451591
Preventive Medicine Associates is a Addiction Medicine in Brookline, Massachusetts. Preventive Medicine Associates practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Preventive Medicine Associates is 1962451591. The last update date is 2008-05-22.
Preventive Medicine Associates's current location address is 11 Kent St, Brookline, Massachusetts. You can contact this provider via phone number 6173836405. The mailing address for Preventive Medicine Associates is 11 Kent St, Brookline, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Preventive Medicine Associates |
|---|---|
| Address | 11 Kent St, Brookline, Massachusetts |
| Phone Number | 6173836405 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Kishore Punyamurtula |
| Credentials | M.D. |
| Telephone Number | 6173836567 |
NPI Number Detail
| NPI Number | 1962451591 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
| Address | 11 Kent St |
|---|---|
| City | Brookline |
| State | Massachusetts (MA) |
| Post Code | 24457901 |
| Phone Number | 6173836405 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
|
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9772898 | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Preventive Medicine Associates by the Centers for Medicare & Medicaid Services?
The Preventive Medicine Associates has been assigned the NPI (National Provider Identifier) 1962451591. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Preventive Medicine Associates is physically located?
The Preventive Medicine Associates is situated at the following address: 11 Kent St, Brookline, MA 24457901.
What is the area of specialization for Preventive Medicine Associates, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Preventive Medicine Associates is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qa0401X.
On what date did Preventive Medicine Associates receive its 1962451591 assignment from the Centers for Medicare & Medicaid Services?
The Preventive Medicine Associates was assigned its 1962451591 on 2006-05-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Preventive Medicine Associates most recently updated or revised?
The details related to Preventive Medicine Associates, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-22.
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