| NPI | 1235514795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS TEEHAN Owner 781-326-1464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MA 250272) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-08-11 |