NPI | 1295853927 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL ADAM GORN Medical Director 978-688-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MA 155025) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2010-09-15 |