| NPI | 1295070258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE DYKE Nurse Practitioner/Clinic Manager 617-526-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA 163624) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |