OrganizationActive
Dedham Medical Associate
NPI 1063430643 · Diagnostic Radiology Physician · Dedham, MA
Provider details
- NPI number
- 1063430643
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Russo, Cfo(781) 278-5540
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Lyons Street
Dedham, MA 02026
Phone: (781) 329-1400
Fax: (781) 278-5667
Street-level locationGet directions
Mailing address
Po Box 9120
Dedham, MA 02027-9120
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.