| NPI | 1235242462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FOSTER Medical Director 617-643-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MA 236423) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |