| NPI | 1053475012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY STEIN Practice Manager 617-224-1059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |