| NPI | 1154657971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PILAR ALONSO Owner 508-235-0409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 204838) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2012-03-16 |