| NPI | 1275795551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GRADY Ambulatory Services Division Direct 978-373-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MA 111893) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |