| NPI | 1336303841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ANTHONY KENNY Medical Director 617-479-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 82051) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |