NPI | 1134673882 |
---|---|
Entity Type | Organization |
Authorized Contact | DARREN M LYNCH Medical Director 413-584-7787 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 219836) |
Enumeration Date | 2016-08-11 |
Last Update Date | 2020-06-10 |