| NPI | 1134119852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER CHARLES DOYLE Owner 508-634-0017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MA 205029) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-08-22 |