| NPI | 1043710791 |
|---|---|
| Former Legal Business Name | LAHEY PHYSICIAN COMMUNITY ORGANIZATION I INC |
| Entity Type | Organization |
| Authorized Contact | NICOLAS-SONNY NGUYEN Cmo 617-396-8005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2024-10-18 |