| NPI | 1225212335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO C MENDES Medical Director 617-327-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 80176) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: 80176) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2012-07-31 |