| NPI | 1093183733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MCLAUGHLIN Owner 772-324-9337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2024-01-22 |