| NPI | 1003011594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RYAN President 978-630-3862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 2141244) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 214124) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |