| NPI | 1033358411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J DELONG Credentialing Manager 413-222-7711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |