| NPI | 1205228673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ROBELEN Md 617-789-2782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |