| NPI | 1205215373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID REZA DANESH Member 978-888-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 223435) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: MA 223435) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2016-09-07 |