| NPI | 1245634211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA TROLIO Billing Manager 413-525-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |