| NPI | 1235646332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY COON Director, Medical Staff Svcs 508-973-2432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |