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General NPI Number Information
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NPI Number | 1346381811
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Entity Type | Organization
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Legal Business Name | MEDICAL ASSOCIATES OF GREATER BOSTON
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 307 W CENTRAL ST
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City | NATICK
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State | MA
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Zip | 01760-3719
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Country | US
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Telephone | 508-820-8383
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Fax | 508-820-0250
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Provider Business Mailing Address
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Address Line | 307 W CENTRAL ST
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City | NATICK
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State | MA
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Zip | 01760-3719
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Country | US
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Telephone | 508-820-8383
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Fax | 508-820-0250
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | AMY STACEY
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Credential |
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Telephone | 508-820-8383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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