| NPI | 1205167350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE SICAEROS COO/VP Physician Integration 877-696-3622 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 208M00000X Hospitalist | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2024-02-27 |