NPI | 1245838168 |
---|---|
Entity Type | Organization |
Authorized Contact | NEIL WAGLE Cmo 617-256-6666 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2020-10-13 |
Last Update Date | 2024-01-05 |