| NPI | 1114948478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PHILLIPS Practice Administrator 781-331-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |