| NPI | 1326094905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBY L MEDEIROS Executive Director 508-675-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2012-11-19 |