NPI | 1235174418 |
---|---|
Doing Business As | CCA PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | BILJANA SIMIKIC Acting Medical Director 617-433-9601 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2006-06-19 |
Last Update Date | 2021-09-22 |