| NPI | 1053502153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN O CHASTAIN President 978-683-4314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: MA 45089) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |