NPI | 1194868034 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT E. MALONEY Medical Director 508-791-2508 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
Enumeration Date | 2007-02-14 |
Last Update Date | 2020-08-22 |