| NPI | 1104070564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN O'NEIL TORMEY Nurse Practitioner 508-860-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA 133984) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |