| NPI | 1275653016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA HAMAWI Owner 508-753-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 152836) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 152836) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |