NPI | 1003284506 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK D'ALESSANDRO Partner 4013-339-9595 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207R00000X Internal Medicine |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2015-09-14 |
Last Update Date | 2016-02-25 |