| NPI | 1144717711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE SUSAN SHARAF Clinical Social Worker 617-754-0549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 72667) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 158258) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |