| NPI | 1003562398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE MAURICIO CASTELLANOS Owner/Provider 617-784-4682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2023-02-14 |