| NPI | 1003169327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONG J GUAN Member 617-290-9881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 150086) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-11-02 |