| NPI | 1336526482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHEEHAN Administrator 774-992-7916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MA 001167140) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |