| NPI | 1194119859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MONAGHAN Medical Director 617-983-7795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA RN2291280) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |