| NPI | 1215384409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA PETERS President 413-455-1217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MA 76807) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MA 76807) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |