| NPI | 1073090692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS TEEHAN Md 781-326-1464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2022-08-16 |