| 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 |