| NPI | 1215126065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY FRANICS SULLIVAN Manager 617-230-9317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA02285700) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA0727700) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA02285700) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |