NPI | 1063873842 |
---|---|
Former Legal Business Name | LAHEY PHYSICIAN COMMUNITY ORGANIZATION I INC |
Entity Type | Organization |
Authorized Contact | DAVID L LONGWORTH CEO 781-744-8097 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2016-03-08 |
Last Update Date | 2022-11-07 |