is a Addiction Psychiatry in , . practices all healthcare services and medical treatments related to Addiction Psychiatry. The NPI Number for is 1659323913. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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| Address | , , |
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| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1659323913 |
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| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | |
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| City | |
| State | () |
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| Phone Number | |
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Provider's Primary Taxonomy Detail
| Speciality | Addiction Psychiatry |
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| Taxonomy | 2084P0802X |
| Licence No | 49629 |
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Definition: Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric d |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00016688 | MA | MEDICARE RAILROAD | |
| B07207 | MA | BLUE CROSS | |
| 705475 | MA | TUFTS HEALTH PLAN | |
| 17383 | MA | NEIGHBORHOOD HEALTH PLAN | |
| EX8338 | MA | MEDICARE PTAN |
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