NPI | 1336460476 |
---|---|
Doing Business As | PRATT MEDICAL GROUP, INC - NUTRITION |
Entity Type | Organization |
Authorized Contact | EDWARD GALLEGOS Director 617-636-7549 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2010-06-11 |
Last Update Date | 2017-04-21 |