| NPI | 1104951474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY FRATES Administrator 508-675-4683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |