| NPI | 1205917291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A DAVIS Owner 781-255-0778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-12-16 |