NPI | 1275971764 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY HALTIGAN Director Revenue Cycle Management 877-856-3774 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Enumeration Date | 2013-06-06 |
Last Update Date | 2023-01-18 |