| NPI | 1053268672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIAT PRIMOR MAROM CEO 617-775-7138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 1835P1200X Pharmacist, Pharmacotherapy | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207R00000X Internal Medicine | |
| 208U00000X Clinical Pharmacology | |
| Enumeration Date | 2026-03-12 |
| Last Update Date | 2026-03-12 |