OrganizationActive
Advanced Ancillary Services PLLC
NPI 1689369993 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Dedham, MA
Provider details
- NPI number
- 1689369993
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Robert Patz, Manager
Practice location
333 Elm Street
Suite 110
Dedham, MA 02026-4530
Phone: (781) 316-8830
Fax: (857) 394-3172
Mailing address
333 Elm Street
Dedham, MA 02026-4530
Registry dates
- Enumerated
- 2023-04-11
- Last updated
- 2023-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.