| NPI | 1306137518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS SULLIVAN Physician 978-342-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN281239) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |