| NPI | 1235547084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL STEVEN JORDAN Practice Administrator 978-466-2692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 216020) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |