| NPI | 1114750015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULGHANI ALRASHEED Manager 617-717-9176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-12-16 |