| NPI | 1144412396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLA NEYSHTADT Owner 617-630-9823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MA 150852) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2008-07-09 |