| NPI | 1225734262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PISTORINO Director 781-664-1403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2024-01-19 |