| NPI | 1003653544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY LACORTE Medical Director 508-737-7196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |