| NPI | 1174214464 |
|---|---|
| Doing Business As | 1620 PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | AARON MALOY Nurse Practitioner, Owner 508-591-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |