| NPI | 1215365275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES T. JONES Credentialing Specialist 617-533-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NH RN155812) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2020-04-02 |