| NPI | 1245520089 |
|---|---|
| Doing Business As | NORTHEAST INTERNAL MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ROBERTA S CLOUD Vice President 210-575-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-07-27 |