NPI | 1245056738 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTONIOUS ABRAHAM CEO 978-325-1322 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
207N00000X Dermatology | |
363A00000X Physician Assistant | |
363LA2200X Nurse Practitioner, Adult Health | |
Enumeration Date | 2024-11-29 |
Last Update Date | 2024-11-29 |