| NPI | 1215661780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GORIN Owner 508-775-1984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2024-04-03 |