| NPI | 1174089163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THORNSON Partner/Owner 774-202-7049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |