| NPI | 1194735449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERSON DICKEY Owner 413-772-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MA 75064) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |