| NPI | 1326219882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRADLEY BADER Owner 781-438-5543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 52061) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 52061) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-06-25 |