| NPI | 1285761619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE E AIELLO Practice Manager 508-746-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 226393) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 47038) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 220157) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 29307) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 76027) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 182208) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 143121) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |