| NPI | 1043210958 |
|---|---|
| Doing Business As | WELLNESS MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ALEX KHOTINER President 617-282-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-08-22 |