| NPI | 1154464584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY E. PENNY Administrator 508-853-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: MA 87511) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |