| NPI | 1154394542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK F BROPHY Physician 781-729-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider (Licence: MA 59337) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-08-22 |