| NPI | 1073778411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN ROBERT TOWNSEND Sole Proprietor 617-921-3237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 209743) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |