| NPI | 1093786725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMOSTHENES K AGIOMAVRITIS Physician President 508-770-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 47165) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-08-22 |