NPI | 1174763619 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTIN GILLIS Manager 781-444-9080 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MA 41758) |
Enumeration Date | 2009-02-24 |
Last Update Date | 2009-07-14 |