NPI | 1073054458 |
---|---|
Other Name | SMG TRI-STATE REGION |
Entity Type | Organization |
Authorized Contact | ASHLEY KOCH CFO 617-562-5359 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
207R00000X Internal Medicine | |
207RC0000X Internal Medicine, Cardiovascular Disease | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
207RG0100X Internal Medicine, Gastroenterology | |
207RI0200X Internal Medicine, Infectious Disease | |
207RS0010X Internal Medicine, Sports Medicine | |
207V00000X Obstetrics & Gynecology | |
207X00000X Orthopaedic Surgery | |
208000000X Pediatrics | |
2084N0400X Psychiatry & Neurology, Neurology | |
2085R0001X Radiology, Radiation Oncology | |
208600000X Surgery | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
Enumeration Date | 2017-03-17 |
Last Update Date | 2020-08-13 |