| NPI | 1285882969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WILLIAM FITTON Assistant Administrator 508-943-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA MA155855) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA MA216396) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-11-18 |